MRS. KIMBERLY KAY HOLT (APRN) – Nurse Practitioner, NPI 1730496423
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for MRS. KIMBERLY KAY HOLT (APRN)
715 GRANDVIEW AVE
PAWHUSKA, OK 740563201
Phone: (918) 287-9300
Fax: (918) 287-6138
Type: Location
820 ROAD 8
CEDAR VALE, KS 670249025
Phone: (620) 330-7477
Fax: (620) 758-2241
Type: Mailing
200 WHITE EAGLE DR
PONCA CITY, OK 746018315
Phone: (580) 765-2501
Type: Location
715 Grandview Ave
Pawhuska, OK 740563201
Phone: (918) 287-9300
Fax: (918) 287-6138
Type: Location
820 Road 8
Cedar Vale, KS 670249025
Phone: (620) 330-7477
Fax: (620) 758-2241
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: 2017-12-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120718000213 | I | Nurse Practitioner | OK | TBD |
| I20171207001883 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 49 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 72 | 39 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 34 | 25 | $0 |
| 81003 | Automated urinalysis test | 25 | 18 | $0 |
| 83036 | Hemoglobin a1c level | 25 | 20 | $0 |
Insurance plans in this area (ZIP 74056)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| - | OK | |
| Nurse Practitioner | OK | |
| O P T O M E T R Y | OK | |
| Family Practice | MO | |
| Clinical Social Worker | OK | |
| - | OK | |
| C H I R O P R A C T I C | OK | |
| Nurse Practitioner | OK |
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