Jeremy K Holmes, DO
Individual provider Active NPI Family Medicine Physician · Kalkaska, MI
NPI 1912935867 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1912935867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101013399 (MI)
- Practice address
- 419 S Coral St
Kalkaska, MI 49646-2500 - Phone
- (231) 258-7777
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kalkaska Memorial Health Center
Practice addresses (Care Compare)
419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500
Hospital & facility affiliations
- Munson Home Care
- Kalkaska Memorial Health Center
- Munson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100813000183 | MI | Practitioner - Family Practice | 8820122880 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalkaska Memorial Health Center | Current |
Accepting new patients | |
| Kalkaska Memorial Health Center | Family Medicine | Current | Accepting new patients |
| Kalkaska Memorial Health Center | Family Medicine | Current |
Accepting new patients |
| Community Memorial Hospital | Past | Accepting new patients | |
| Community Memorial Hospital | Past | Accepting new patients | |
| Kalkaska Memorial Health Center | Family Medicine | Past | Accepting new patients |
Locations
419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500
Interoperability endpoints
- jholmes@direct.mhc.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013399 | MI | Yes |
Addresses
Primary practice location
419 S Coral St
Kalkaska, MI 49646-2500
Mailing address
419 S Coral St
Kalkaska, MI 49646-2500
Phone (231) 258-7777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4529120 | Medicaid | MI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jholmes@direct.mhc.net |
Other providers in Kalkaska, MI
- Tedina Hatley
- Olivia Hayward
- Healing Roots Clinical Counseling
- Jason T Hicks
- Richard E Hodgman
- Taylor Horning
- Heather Howey
- Rachael A Hume-Reichardt
- Halie Inglis
- Tina Jacobs
All providers in Kalkaska, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.