LESLIE NICOLLE HOLTKE (CNP) – Family Nurse Practitioner, NPI 1316005770
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for LESLIE NICOLLE HOLTKE (CNP)
2350, Miami Valley Drive, Centerville, Montgomery County, Ohio, 45459, United States
SUITE 530
CENTERVILLE, OH 454594778
Phone: (937) 435-3546
Fax: (937) 435-3568
Type: Location
3170 KETTERING BLVD BLDG B3
MORAINE, OH 454391924
Phone: (937) 435-3546
Fax: (937) 435-3568
Type: Mailing
2350 MIAMI VALLEY DR STE 530
CENTERVILLE, OH 454594782
Phone: (937) 435-3546
Fax: (937) 435-3568
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: 2006-12-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061228000110 | I | Nurse Practitioner | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 214 | 127 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 45 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 33 | 33 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 29 | 29 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 45459)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OH | 81002 | Urinalysis, manual test | 13 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Physician Assistant | OH | |
| - | OH | |
| General Surgery | OH | |
| Family Practice | OH | |
| - | OH | |
| Internal Medicine, Hospitalist | PA | |
| Registered Dietitian Or Nutrition Professional | OH |
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