LAURA OBERHOLZ (FNP) – Family Nurse Practitioner, NPI 1396110490

LAURA OBERHOLZ (FNP) is a healthcare provider. based in Rolla, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 041.270733 (IL). The NPI Number for LAURA OBERHOLZ (FNP) is 1396110490

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LAURA OBERHOLZ (FNP)
NPI
1396110490
Phone
(573) 458-6350
Address
1605 Martin Springs Dr Ste 210
Enumeration Date
1 December 2015
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734586326
Graduation Year
2015 (11 years ago)
PAC ID
8224403639
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20230417000431
Address ID
MO654012980RO1605XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:10State licenses:3Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for LAURA OBERHOLZ (FNP)

  • 1605 Martin Springs Dr Ste 210

    Rolla, MO 654013028

    Phone: (573) 458-6350

    Type: Location

  • 1650 MIDTOWN RD

    PERU, IL 613541274

    Phone: (815) 664-1664

    Type: Mailing

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: 2023-04-17

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
I20230417000431INurse PractitionerMOTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes4239$0
99213Established patient office or other outpatient visit, 20-29 minutes3836$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 65401)

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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: 7416865845View full group profile

Reviews

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Frequently asked questions

Does LAURA OBERHOLZ (FNP) have a public NPI I can cite?
Public records show LAURA OBERHOLZ (FNP) under NPI 1396110490.
Is LAURA OBERHOLZ (FNP) currently accepting referrals based on NPI status?
Registry metadata lists LAURA OBERHOLZ (FNP) as active.
What type of care does LAURA OBERHOLZ (FNP) provide?
LAURA OBERHOLZ (FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to LAURA OBERHOLZ (FNP)?
LAURA OBERHOLZ (FNP) shows a connection to Rolla, Missouri in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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