BRENDA E HOLTSCLAW (CRNA) – Certified Registered Nurse Anesthetist, NPI 1972595064

BRENDA E HOLTSCLAW (CRNA) is a healthcare provider. based in Johnson city, Tennessee. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. RN0000081278 (TN). The NPI Number for BRENDA E HOLTSCLAW (CRNA) is 1972595064

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA E HOLTSCLAW (CRNA)
NPI
1972595064
Phone
(423) 283-0776
Address
1009 LARK ST STE 2
Enumeration Date
16 August 2005
Last Update Date
24 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4234343700
Graduation Year
1997 (29 years ago)
PAC ID
9032213400
Group Practice PAC ID
1254677222
Professional Enrollment ID
I20070326000239
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for BRENDA E HOLTSCLAW (CRNA)

  • Lark Street, Arbor Heights, Johnson City, Washington County, Tennessee, 37604, United States

    JOHNSON CITY, TN 376048218

    Phone: (423) 283-0776

    Fax: (423) 283-0549

    Type: Mailing

  • Johnson City Medical Center, 400, North State of Franklin Road, The Y, Johnson City, Washington County, Tennessee, 37604, United States

    JOHNSON CITY, TN 376046035

    Phone: (423) 431-6111

    Type: Location

  • 1009 Lark St

    SUITE 2

    Johnson City, TN 376048217

    Phone: (423) 283-0776

    Fax: (423) 283-0549

    Type: Location

  • 300 Med Tech Pkwy

    Johnson City, TN 376042277

    Phone: (423) 302-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($72).

Total Amount

$111

General + Research + Ownership

Payments

7

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-11

Latest reported date

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: 2007-03-26

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
I20070326000239ICertified Registered Nurse Anesthetist (Crna)TNTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope121121$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope9090$0
00812Anesthesia for exam of colon using an endoscope3838$0
View full utilization report →

Insurance plans in this area (ZIP 37604)

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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: 1254677222View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
-TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

How do payers reference BRENDA E HOLTSCLAW (CRNA)?
For BRENDA E HOLTSCLAW (CRNA), use NPI 1972595064 as the unique 10-digit identifier.
Is BRENDA E HOLTSCLAW (CRNA) shown as active in public data?
Registry records indicate BRENDA E HOLTSCLAW (CRNA) maintains an active NPI.
What expertise is attributed to BRENDA E HOLTSCLAW (CRNA)?
BRENDA E HOLTSCLAW (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with BRENDA E HOLTSCLAW (CRNA)?
Directory geography for BRENDA E HOLTSCLAW (CRNA) centers on Johnson City, Tennessee.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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