TENIELLE RHAE HOLSTE (PA-C) – Physician Assistant, NPI 1912184557

TENIELLE RHAE HOLSTE (PA-C) is a healthcare provider. based in Centerville, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1307 (ME). The NPI Number for TENIELLE RHAE HOLSTE (PA-C) is 1912184557

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
TENIELLE RHAE HOLSTE (PA-C)
NPI
1912184557
Phone
(937) 425-4000
Address
6661 CLYO RD
Enumeration Date
25 January 2008
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
0244314359
Group Practice PAC ID
5294623245
Professional Enrollment ID
I20080228000172
Address ID
OR975046194ME940XXAVEX300

Contacts

Secure Messaging
tholste641857@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:18State licenses:3Other namesUpdated within 12 months

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for TENIELLE RHAE HOLSTE (PA-C)

  • 6661, Clyo Road, Centerville, Montgomery County, Ohio, 45459, United States

    CENTERVILLE, OH 454592767

    Phone: (937) 425-4000

    Fax: (937) 425-4002

    Type: Mailing

  • 870 S FRONT ST STE 200

    CENTRAL POINT, OR 975022779

    Phone: (541) 732-8000

    Type: Location

  • 500 LINCOLN PARK BLVD STE 110

    KETTERING, OH 454296410

    Phone: (937) 531-5020

    Fax: (937) 298-4385

    Type: Mailing

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone: (415) 732-8000

    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: 2018-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080228000172IPhysician AssistantORTBD
I20181214002537IPhysician AssistantOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8468$0
99213Established patient office or other outpatient visit, 20-29 minutes5849$0
G0008Administration of influenza virus vaccine3838$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage3838$0
83036Hemoglobin a1c level2828$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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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: 5294623245View full group profile

Reviews

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Frequently asked questions

Does TENIELLE RHAE HOLSTE (PA-C) have a public NPI I can cite?
Public records show TENIELLE RHAE HOLSTE (PA-C) under NPI 1912184557.
Should I treat TENIELLE RHAE HOLSTE (PA-C) as an active provider?
Patients and plans typically see TENIELLE RHAE HOLSTE (PA-C) as active in the national extract.
Which specialty label fits TENIELLE RHAE HOLSTE (PA-C)?
NPPES ties TENIELLE RHAE HOLSTE (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to TENIELLE RHAE HOLSTE (PA-C)?
TENIELLE RHAE HOLSTE (PA-C) shows a connection to Centerville, Ohio in registry-derived data.
Who maintains TENIELLE RHAE HOLSTE (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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