Individual provider Active NPI

Leslie Nicolle Holtke, CNP

  • Family Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1316005770
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-09088 Issued in OH
Practice address
2350 Miami Valley Dr Ste 530
Centerville, OH 45459-4782
Phone
(937) 435-3546
Fax
(937) 435-3568
NPI assigned
Dec 5, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-09088 OH Primary

Addresses

Primary practice location

2350 Miami Valley Dr Ste 530
Centerville, OH 45459-4782

Mailing address

3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 435-3546

Other identifiers 1

IdentifierTypeStateIssuer
2712756MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL lholtke906359@direct.premierhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061228000110 OH Practitioner - Nurse Practitioner 2163422007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Practice addresses (Care Compare)

2350 Miami Valley Dr
Suite 530
Centerville, OH 45459-4782
Phone (937) 435-3546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-09088OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Dec 28, 2015 Accepting new patients
Mvhe Inc CurrentSince Dec 28, 2015 Accepting new patients
Middletown Medical Group,Inc. Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2350 Miami Valley Dr
Ste 530
Dayton, OH 45459
Phone (937) 435-3546

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

200 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-2535

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

Organizations & group practices 3

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 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1316005770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-435-3546",
            "fax_number": "937-435-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MIAMI VALLEY DR STE 530",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594782",
            "telephone_number": "937-435-3546",
            "fax_number": "937-435-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTKE",
        "first_name": "LESLIE",
        "middle_name": "NICOLLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-09088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2712756",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "lholtke906359@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "2350 Miami Valley Dr",
            "address_2": "Suite 530",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.