Individual provider Active NPI

Maybelle Holt, NP

  • Family Nurse Practitioner
  • Decatur, IN
National Provider Identifier
1780276485
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010817A Issued in IN
Practice address
1300 Mercer Ave
Decatur, IN 46733-2407
Phone
(260) 724-2145
NPI assigned
Feb 4, 2021
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 71010817A IN Primary

Addresses

Primary practice location

1300 Mercer Ave
Decatur, IN 46733-2407

Mailing address

1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145

Other practice location 1

205 Tower Dr
Monroe, IN 46772-9362
Phone (260) 692-6163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210209001343 IN Practitioner - Nurse Practitioner 9436564275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adams County Memorial HospitalGroup PAC ID 0941198253, 85 clinicians

Practice addresses (Care Compare)

205 Tower Dr
Monroe, IN 46772-9362
Phone (260) 692-6163

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010817AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Memorial Hospital CurrentSince Nov 10, 2020 Accepting new patients
Adams County Memorial Hospital CurrentSince Nov 10, 2020 Accepting new patients

Locations

1100 Mercer Ave
Decatur, IN 46733

205 Tower Dr
Monroe, IN 46772
Phone (260) 692-6163

Interoperability endpoints

  • Direct secure messaging: mholt453079@direct.parkviewexchange.com

Organizations & group practices 2

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 1

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1780276485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MERCER AVE",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467332303",
            "telephone_number": "260-724-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCER AVE",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467332407",
            "telephone_number": "260-724-2145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Tower Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "IN",
            "postal_code": "467729362",
            "country_code": "US",
            "telephone_number": "260-692-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MAYBELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010817A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IN

Sources for this page

Verify at the official NPI Registry.