KIMBERLY HOLT (NP) – Gerontology Nurse Practitioner, NPI 1962924084

KIMBERLY HOLT (NP) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704217795 (MI). The NPI Number for KIMBERLY HOLT (NP) is 1962924084

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY HOLT (NP)
NPI
1962924084
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
11 July 2017
Last Update Date
17 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2016 (10 years ago)
PAC ID
8325310923
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20170816003596
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
kholt172227@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for KIMBERLY HOLT (NP)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Spectrum Health United Hospital, 615, South Bower Street, Greenville, Montcalm County, Michigan, 48838, United States

    GREENVILLE, MI 488382614

    Phone: (616) 391-3139

    Fax: (616) 391-3044

    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: 2017-08-16

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
I20170816003596INurse PractitionerMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3629$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1512$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLY HOLT (NP)?
NPI 1962924084 is assigned to KIMBERLY HOLT (NP) under the national enumeration system.
Is KIMBERLY HOLT (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KIMBERLY HOLT (NP) treat or focus on?
Patients typically see KIMBERLY HOLT (NP) under the specialty Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KIMBERLY HOLT (NP)?
The snapshot lists Grand Rapids, Michigan for KIMBERLY HOLT (NP); download NPPES for the complete set.
Is KIMBERLY HOLT (NP) a real provider?
This page reflects official NPPES data for NPI 1962924084. Always confirm identity and privileges with the practice and licensing boards.

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