Individual provider Active NPI

Mariah Holmes, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Campbellsville, KY
National Provider Identifier
1699474270
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3019002 Issued in KY
Practice address
125 Greenbriar Dr
Campbellsville, KY 42718-9616
Phone
(207) 789-6166
NPI assigned
Mar 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 3019002 KY Primary

Addresses

Primary practice location

125 Greenbriar Dr
Campbellsville, KY 42718-9616

Mailing address

1698 Old Lebanon Rd
Campbellsville, KY 42718-3319
Phone (270) 789-6166

Other practice location 1

95 Kingswood Dr
Campbellsville, KY 42718-9604
Phone (270) 465-3812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230404000387 KY Practitioner - Nurse Practitioner 6608241740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Regional Medical Group LLCGroup PAC ID 4880616622, shared by 4 NPIs, 60 clinicians

Practice addresses (Care Compare)

125 Greenbriar Dr
Campbellsville, KY 42718-9616
Phone (270) 789-9999

95 Kingswood Dr
Campbellsville, KY 42718-9604
Phone (270) 465-3812

Hospital & facility affiliations

  • Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087
  • Russell County Hospital Hospital, Russell Springs, KY, CCN 181330
  • TJ Health Columbia Hospital, Columbia, KY, CCN 180149
  • Spring View Hospital Hospital, Lebanon, KY, CCN 180024
  • Jane Todd Crawford Hospital Hospital, Greensburg, KY, CCN 181325

Merit-based Incentive Payment System (MIPS)

Final score
73.96 of 100Reported as group
Quality
62.41
Promoting interoperability
69
Improvement activities
40
Cost
71.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3019002KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group, LLC Family CurrentSince Feb 19, 2024 Accepting new patients
Taylor Regional Medical Group LLC Family CurrentSince Feb 19, 2024 Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Taylor Regional Medical Group Family CurrentSince Jan 2, 2025 Accepting new patients
Taylor Regional Medical Group Past Accepting new patients

Locations

70 Ubermonkey Ln
Campbellsvlle, KY 42718
Phone (270) 465-0060

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

95 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-3812

67 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-2116

125 Greenbriar Dr
Campbellsvlle, KY 42718
Phone (270) 789-6166

73 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-1112

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1699474270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427183319",
            "telephone_number": "270-789-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 GREENBRIAR DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189616",
            "telephone_number": "207-789-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Kingswood Dr",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427189604",
            "country_code": "US",
            "telephone_number": "270-465-3812",
            "fax_number": "270-465-7805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MARIAH",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3019002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.