Alisha Kristine Holben, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

288878 Issued in AZ

Practice address

560 S Bellview
Mesa, AZ 85204-2504

Phone

(276) 623-7851

NPI assigned

Mar 8, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

91.37 of 100Reported as group

Quality

80.43

Improvement activities

40

Cost

73.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hexis Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Abingdon, VA
  • NPI 1265215859

  Psychiatric/Mental Health, VA

  Medicare reassignment NPD
• Supportive Care of Maryland LLC

  • Psychologist
  • Riverdale, MD
  • NPI 1447802616

  DC

  Medicare reassignment NPD
• Supportive Care of Virginia LLC

  • Clinical Psychologist
  • Colonial Heights, VA
  • NPI 1801485354

  VA

  Medicare reassignment NPD
• Little Colorado Behavioral Health Center Inc.

  • Community/Behavioral Health Agency
  • Springerville, AZ
  • NPI 1194872085
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1003516006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16424 FERN CIR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242104886",
            "telephone_number": "276-623-7851",
            "fax_number": "276-623-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S BELLVIEW",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852042504",
            "telephone_number": "276-623-7851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16165 N 83rd Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853825816",
            "country_code": "US",
            "telephone_number": "276-623-7851",
            "fax_number": "602-654-1322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLBEN",
        "first_name": "ALISHA",
        "middle_name": "KRISTINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "288878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashayne Nell Hogeland, MS, LAC
• Charlene A Hogle, D.C.
• Frank Matthew Hogle, D.C.
• Kerri Hohn
• Brittany Lynn Hokin
• Brett Holdaway, DO
• William E Holder, FNP-C
• Roy Holexa, DDS
• Terry Ann Holiday
• Holistic Medical Group

• All providers in Mesa, AZ
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.