MARIA JANE HOLDER (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083064737
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARIA JANE HOLDER (NP)
1115 SE 164TH AVE DEPT 358
VANCOUVER, WA 986838004
Phone: (360) 729-1253
Fax: (360) 729-3185
Type: Mailing
2205 RIVERSTONE BLVD STE 205
CANTON, GA 301145250
Phone: (770) 720-5011
Fax: (770) 345-1088
Type: Location
2215 Cheshire Bridge Rd NE
Atlanta, GA 303244234
Phone: (404) 541-0944
Type: Location
1515 Village Dr
Cottage Grove, OR 974249700
Phone: (541) 767-5200
Fax: (541) 767-5292
Type: Location
255 Depot St Ste 200
Ball Ground, GA 301074065
Phone: (678) 648-1756
Type: Location
Cottage Grove Community Medical Center, 1515, Village Drive, Cottage Grove, Lane County, Oregon, 97424, United States
COTTAGE GROVE, OR 974249700
Phone: (541) 767-5200
Fax: (541) 767-5292
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $434.
Total Amount is formed as General ($434) + Research ($0) + Ownership ($0) = $434.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Alkermes, Inc. ($233).
Total Amount
$434
General + Research + Ownership
Payments
15
Total payment records
General Amount
$434
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $233 |
| Braeburn Inc. | $87 |
| Orexo US, Inc. | $44 |
| USWM, LLC | $24 |
| Indivior Inc. | $24 |
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: 2017-02-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170206002274 | I | Nurse Practitioner | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98683)
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