Individual provider Active NPI

Nicole Marie Holzer, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Norman, OK
National Provider Identifier
1164976783
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
89161 Issued in OK
Practice address
2201 Westpark Dr
Norman, OK 73069-4012
Phone
(405) 928-2044
Fax
(405) 928-2046
NPI assigned
Aug 11, 2016
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 89161 OK Primary
Primary Care Nurse Practitioner 363LP2300X 89161 OK

Addresses

Primary practice location

2201 Westpark Dr
Norman, OK 73069-4012

Mailing address

2201 Westpark Dr
Norman, OK 73069-4012
Phone (405) 579-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000024 OK Practitioner - Nurse Practitioner 9234426479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norman Psychiatry Aprn-CNP PLLCGroup PAC ID 3971866484, 10 clinicians

Practice addresses (Care Compare)

2201 Westpark Dr
Norman, OK 73069-4012
Phone (405) 579-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
89161OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Psychiatry Aprn-CNP PLLC CurrentSince May 7, 2023 Accepting new patients

Locations

2201 Westpark Dr
Norman, OK 73069
Phone (405) 579-4111

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1164976783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 WESTPARK DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730694012",
            "telephone_number": "405-579-4111",
            "fax_number": "405-579-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WESTPARK DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730694012",
            "telephone_number": "405-928-2044",
            "fax_number": "405-928-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "89161",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "89161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.