Beth R Holderby Acre, NP-C
Individual provider Active NPI Family Nurse Practitioner · Canton, OK
NPI 1023433299 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1023433299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 96390 (OK)
- Practice address
- 213 W. Main St.
Canton, OK 73724 - Phone
- (580) 886-1400
- Fax
- (580) 297-9285
- NPI assigned
- Feb 25, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
73724-1284, OK 73724
Phone (405) 936-0504
Hospital & facility affiliations
- Traditions Health of Enid
- Okeene Municipal Hospital
- Integris Health Enid Hospital
- St Mary'S Regional Medical Center
- Fairview Regional Medical Center Authority
- O U Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140612000145 | OK | Practitioner - Nurse Practitioner | 5294959334 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96390 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Family Clinic LLC | Current |
Accepting new patients | |
| Okeene Municipal Hospital and Schallmo Authority | Current |
Accepting new patients | |
| Okeene Municipal Hospital and Schallmo Authority | Current |
Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Okeene Municpal Hospital and Schallmo Authority | Past | Accepting new patients |
Locations
207 E F St
Okeene, OK 73763
Phone (580) 822-4321
124 N 6th St
Okeene, OK 73763
Phone (580) 822-4404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 96390 | OK | Yes |
Addresses
Primary practice location
213 W. Main St.
Canton, OK 73724
Mailing address
PO Box 217
Canton, OK 73724-0217
Phone (580) 886-1400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200529230A | Medicaid | OK |
Other providers in Canton, OK
- Susan Edsall
- Great Salt Plains Health Center
- Kirsten Harrelson
- Herod Drug, LLC
- Herod Drug, LLC.
- Rebecca Carol Johnson
- Main Street Family Clinic LLC
- Melinda Miles
- Sarah Anne Pierce
- Cynthia Ranae Scott
All providers in Canton, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.