EILEEN HOLT (NP) – Family Nurse Practitioner, NPI 1629439054

EILEEN HOLT (NP) is a healthcare provider. based in Eureka, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2016005301 (MO). The NPI Number for EILEEN HOLT (NP) is 1629439054

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
EILEEN HOLT (NP)
NPI
1629439054
Phone
(636) 549-4266
Address
54 THE LEGENDS PKWY
Enumeration Date
12 March 2016
Last Update Date
24 December 2024

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6366857715
Graduation Year
2015 (11 years ago)
PAC ID
3375801632
Group Practice PAC ID
3678506102
Professional Enrollment ID
I20171215000351
Address ID
MO630112278EL225XXRDXX300

Contacts

Secure Messaging
nabil.ahmad@amr.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for EILEEN HOLT (NP)

  • 54, The Legends Parkway, Eureka, Saint Louis County, Missouri, 63025, United States

    SUITE 153

    EUREKA, MO 630253803

    Phone: (636) 549-4266

    Type: Mailing

  • 225 CLARKSON RD

    ELLISVILLE, MO 630112278

    Phone: (636) 685-7715

    Type: Location

  • 12855 N 40 DR STE 275

    SAINT LOUIS, MO 631418667

    Phone: (314) 395-7699

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 156 Open Payments records for all available years, with a total value of $2,958.

Total Amount is formed as General ($2,958) + Research ($0) + Ownership ($0) = $2,958.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($1,531).

Total Amount

$2,958

General + Research + Ownership

Payments

156

Total payment records

General Amount

$2,958

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-12-15

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
I20171215000351INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63025)

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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: 3678506102View full group profile
NameSpecialtyState
Family PracticeMO
Family PracticeGA
Family PracticeMO
Family PracticeMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I verify EILEEN HOLT (NP) with an NPI only?
You can start verification with NPI 1629439054 for EILEEN HOLT (NP), then check state licensing separately.
Does CMS list EILEEN HOLT (NP) as active?
Yes — EILEEN HOLT (NP) is active in the NPI listing used on this page.
What is EILEEN HOLT (NP)'s specialty?
The listing groups EILEEN HOLT (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for EILEEN HOLT (NP)?
EILEEN HOLT (NP)'s geographic hint is Eureka, Missouri in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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