Active NPI
Mariah Holmes, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Campbellsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3019002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 LLC
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
- Russell County Hospital
- TJ Health Columbia
- Spring View Hospital
- Jane Todd Crawford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.96 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3019002 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Regional Medical Group, LLC | Family | Current | Accepting new patients |
| Taylor Regional Medical Group LLC | Family | Current | Accepting new patients |
| Taylor Regional Medical Group,LLC | Current | Accepting new patients | |
| Taylor Regional Medical Group | Family | Current | 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.
-
- Family Medicine Physician
- Campbellsville, KY
- NPI 1699030031
-
- Obstetrics & Gynecology Physician
- Campbellsville, KY
- NPI 1174697601
-
- Hematology & Oncology Physician
- Campbellsville, KY
- NPI 1205017464
Family
-
- Rural Health Clinic/Center
- Campbellsville, KY
- NPI 1073370185
Family
-
- Diagnostic Radiology Physician
- Campbellsville, KY
- NPI 1306850052
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Greensburg, KY
- NPI 1225161524
-
- Critical Access Hospital
- Russell Springs, KY
- NPI 1013954437
-
- Rural Acute Care Hospital
- Lebanon, KY
- NPI 1780746420
-
- General Acute Care Hospital
- Columbia, KY
- NPI 1134585656
-
- General Acute Care Hospital
- Campbellsville, KY
- NPI 1689761942
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
- Mark Hillard
- Stephen S Hinton, MD
- Erin L Hodges, APRN
- Holler Performance Health PLLC
- Beth T Hollingsworth, LMT
- Hometown Healthcare of Campbellsville Ky PLLC
- Hometown Pharmacy of Campbellsville, PLLC
- Hometown Pharmacy of Campbellsville, PLLC
- Hometown Pharmacy Specialty Services, PLLC
- Hometown Pharmacy Specialty Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.