JUSTIN HOLBROOK (APRN) – Nurse Practitioner, NPI 1740695774

JUSTIN HOLBROOK (APRN) is a healthcare provider. based in Moore, Oklahoma. specializing in Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 96294 (OK). The NPI Number for JUSTIN HOLBROOK (APRN) is 1740695774

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN HOLBROOK (APRN)
NPI
1740695774
Phone
(405) 237-7500
Address
2900 S TELEPHONE RD STE 250
Enumeration Date
28 June 2014
Last Update Date
21 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4053420255
Graduation Year
2014 (12 years ago)
PAC ID
7618299553
Group Practice PAC ID
9739131442
Professional Enrollment ID
I20141204001219
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for JUSTIN HOLBROOK (APRN)

  • 2900 S TELEPHONE RD STE 250

    MOORE, OK 731602969

    Phone: (405) 237-7500

    Type: Location

  • 1621 CHAMBERS ST

    NORMAN, OK 730717261

    Phone:

    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: 2014-12-04

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
I20141204001219INurse PractitionerOKTBD

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
99284Emergency department visit with moderate level of medical decision making129128$0
99285Emergency department visit with high level of medical decision making8787$0
73130X-ray of hand, minimum of 3 views5438$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4342$0
99283Emergency department visit with low level of medical decision making3938$0
View full utilization report →

Insurance plans in this area (ZIP 73160)

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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: 9739131442View full group profile

Reviews

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Frequently asked questions

What federal number belongs to JUSTIN HOLBROOK (APRN)?
The federal identifier for JUSTIN HOLBROOK (APRN) is NPI 1740695774.
Is JUSTIN HOLBROOK (APRN)'s NPI currently valid?
The extract we use shows JUSTIN HOLBROOK (APRN) as active.
Can you summarize JUSTIN HOLBROOK (APRN)'s specialty in plain language?
Clinically, the directory lists JUSTIN HOLBROOK (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JUSTIN HOLBROOK (APRN)'s primary listing?
We display Moore, Oklahoma because that is what the record indicates for JUSTIN HOLBROOK (APRN).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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