ALEXANDRA P HOLESAPPLE – Psychiatric/Mental Health Nurse Practitioner, NPI 1609652650

ALEXANDRA P HOLESAPPLE is a healthcare provider. based in Columbus, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. APRN.CNP.0034842 (OH). The NPI Number for ALEXANDRA P HOLESAPPLE is 1609652650

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA P HOLESAPPLE
NPI
1609652650
Phone
Not provided
Address
1160 W BROAD ST
Enumeration Date
6 September 2023
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
KENTUCKY SCHOOL OF MEDICINE
Secondary Phone
61427414556231
Graduation Year
2023 (3 years ago)
PAC ID
7214383876
Group Practice PAC ID
5193794188
Professional Enrollment ID
I20240918000262
Address ID
OH432112214CO2028XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

Provider Addresses for ALEXANDRA P HOLESAPPLE

  • 1160 W BROAD ST

    COLUMBUS, OH 432221352

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $208.

Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ITI, Inc. ($111).

Total Amount

$208

General + Research + Ownership

Payments

6

Total payment records

General Amount

$208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2024-09-18

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
I20240918000262INurse PractitionerOHTBD

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 43222)

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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: 5193794188View full group profile
NameSpecialtyState
-OH
Family Practice, Obstetrics/GynecologyAL
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the standard ID for ALEXANDRA P HOLESAPPLE in the U.S.?
In the U.S., ALEXANDRA P HOLESAPPLE is identified by NPI 1609652650.
Is ALEXANDRA P HOLESAPPLE currently accepting referrals based on NPI status?
Registry metadata lists ALEXANDRA P HOLESAPPLE as active.
What services align with ALEXANDRA P HOLESAPPLE's listing?
ALEXANDRA P HOLESAPPLE's public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALEXANDRA P HOLESAPPLE?
ALEXANDRA P HOLESAPPLE is associated with Columbus, Ohio in the same public data insurers reference.
Why is information missing for ALEXANDRA P HOLESAPPLE?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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