Individual provider Active NPI

Nathaniel Michael Holte, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kirksville, MO
National Provider Identifier
1275276354
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2025026923 Issued in MO
Practice address
1405 Crown Dr
Kirksville, MO 63501-2570
Phone
(660) 665-9000
Fax
(660) 665-8445
NPI assigned
Apr 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 113699 IA
Primary Podiatric Medicine Podiatrist 213EP1101X 2025026923 MO
Foot & Ankle Surgery Podiatrist 213ES0103X 2025026923 MO Primary

Addresses

Primary practice location

1405 Crown Dr
Kirksville, MO 63501-2570

Mailing address

PO Box 1239
Hannibal, MO 63401-1239
Phone (573) 406-1300

Other practice location 1

1611 S Baltimore St
Kirksville, MO 63501-4518
Phone (660) 665-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804002268 MO Practitioner - Podiatry 1355721986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1405 Crown Dr
Kirksville, MO 63501-2570
Phone (660) 665-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue55
Removal or shaving of skin growth11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025026923MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System, Inc Current Accepting new patients
Macon County Samaritan Hospital CurrentSince Sep 15, 2025 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Aug 11, 2025 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Aug 11, 2025 Accepting new patients

Locations

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

1405 Crown Dr
Kirksville, MO 63501
Phone (660) 665-9000

1611 S Baltimore St
Kirksville, MO 63501
Phone (660) 372-9595

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

1600 N Morley St
Moberly, MO 65270
Phone (660) 263-1225

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1275276354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634011239",
            "telephone_number": "573-406-1300",
            "fax_number": "573-248-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CROWN DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012570",
            "telephone_number": "660-665-9000",
            "fax_number": "660-665-8445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 S Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014518",
            "country_code": "US",
            "telephone_number": "660-665-7575",
            "fax_number": "660-665-7576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTE",
        "first_name": "NATHANIEL",
        "middle_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-18",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "113699",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MO",
            "license": "2025026923",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2025026923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.