JASMINE SEQUOIA HOLMAN – Certified Registered Nurse Anesthetist, NPI 1174134209

JASMINE SEQUOIA HOLMAN is a healthcare provider. based in Lexington, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 1130248 (KY). The NPI Number for JASMINE SEQUOIA HOLMAN is 1174134209

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JASMINE SEQUOIA HOLMAN
NPI
1174134209
Phone
(859) 268-1030
Address
425 LEWIS HARGETT CIR
Enumeration Date
12 August 2020
Last Update Date
12 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592681030
Graduation Year
2020 (6 years ago)
PAC ID
3476971821
Group Practice PAC ID
4880508712
Professional Enrollment ID
I20200916002101
Address ID
KY405031431LE1740XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,370 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

Provider Addresses for JASMINE SEQUOIA HOLMAN

  • 425 LEWIS HARGETT CIR

    LEXINGTON, KY 405033590

    Phone: (859) 268-1030

    Fax: (859) 269-4120

    Type: Mailing

  • 310 S LIMESTONE

    LEXINGTON, KY 405083008

    Phone: (859) 252-6612

    Fax: (859) 269-4120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200916002101ICertified Registered Nurse Anesthetist (Crna)KYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1616$0
00812Anesthesia for exam of colon using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 40503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880508712View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YKY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
-KY
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

What NPI should I save for JASMINE SEQUOIA HOLMAN?
Save NPI 1174134209 if you need a stable reference for JASMINE SEQUOIA HOLMAN.
Is JASMINE SEQUOIA HOLMAN active in the national directory?
JASMINE SEQUOIA HOLMAN's public NPI profile is in an active state.
What does JASMINE SEQUOIA HOLMAN treat or focus on?
Patients typically see JASMINE SEQUOIA HOLMAN under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place JASMINE SEQUOIA HOLMAN?
The snapshot lists Lexington, Kentucky for JASMINE SEQUOIA HOLMAN; download NPPES for the complete set.
Is JASMINE SEQUOIA HOLMAN a real provider?
This page reflects official NPPES data for NPI 1174134209. Always confirm identity and privileges with the practice and licensing boards.

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