Diane Kay Holmes , NP
Nurse Practitioner • Clio, MI
4154 W Vienna Rd Ste A
Clio, MI 484202807
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 15, 2015; this date does not establish years in practice.
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Published CMS data list 232 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 108 service units.
- 99213 — Established patient outpatient office visit: 68 service units.
- G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 19 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 2,597 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 277 prescription fills, including refills.
- Buprenorphine-Naloxone (Buprenorphine Hcl/Naloxone Hcl) — 145 prescription fills, including refills.
- Gabapentin — 125 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 78 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Nurse Practitioner in Michigan (2024, 1,379 clinicians with data). Median for this group: 167. Middle half: 71 to 378.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,407 in 2020 to 232 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4154 W Vienna Rd Ste A
Clio, MI 484202807
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
103 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $18,651 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $11,547 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
4,566 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$140,228 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $510.96 across 25 records.
By nature of payment
- Food and Beverage: $510.96 across 25 records.
Reporting-company totals (3 largest of 17)
- ABBVIE INC.: $59.19 across 3 records.
- Bayer Healthcare Pharmaceuticals Inc.: $56.46 across 3 records.
- AstraZeneca Pharmaceuticals LP: $46.82 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Diane Holmes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Diane Holmes as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Clio and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Nurse Practitioner in Michigan (2024, 1,379 clinicians with data). Median for this group: 167. Middle half: 71 to 378.
Too few clinicians listed under Nurse Practitioner in Clio have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,379 clinicians with data). Median for this group: $13,518. Middle half: $5,492 to $27,097.
Too few clinicians listed under Nurse Practitioner in Clio have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Nurse Practitioner in Michigan (2024, 1,379 clinicians with data). Median for this group: $9,882. Middle half: $4,037 to $20,034.
Too few clinicians listed under Nurse Practitioner in Clio have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,584 clinicians with data). Median for this group: 358. Middle half: 97 to 1,477.
Too few clinicians listed under Nurse Practitioner in Clio have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,584 clinicians with data). Median for this group: $24,416. Middle half: $1,494 to $175,336.
Too few clinicians listed under Nurse Practitioner in Clio have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Nurse Practitioner with a practice address in Clio, MI (3,594 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 84% from 1,407 in 2020 to 232 in 2024.
- 2020: 1,407
- 2021: 669
- 2022: 787
- 2023: 594
- 2024: 232
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Medicare-allowed amount
Medicare-allowed amount decreased 86% from $128,707 in 2020 to $18,651 in 2024.
- 2020: $128,707
- 2021: $55,381
- 2022: $60,033
- 2023: $47,638
- 2024: $18,651
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Paid by Medicare
Paid by Medicare decreased 88% from $94,432 in 2020 to $11,547 in 2024.
- 2020: $94,432
- 2021: $45,237
- 2022: $43,657
- 2023: $36,446
- 2024: $11,547
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 60% from 6,468 in 2020 to 2,597 in 2024.
- 2020: 6,468
- 2021: 7,029
- 2022: 5,632
- 2023: 1,140
- 2024: 2,597
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30-day fills
30-day fills decreased 38% from 7,367 in 2020 to 4,566 in 2024.
- 2020: 7,367
- 2021: 8,977
- 2022: 7,990
- 2023: 1,572
- 2024: 4,566
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Part D drug cost
Part D drug cost decreased 54% from $304,711 in 2020 to $140,228 in 2024.
- 2020: $304,711
- 2021: $361,908
- 2022: $380,361
- 2023: $93,440
- 2024: $140,228
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $127.24 in 2021 to $510.96 in 2024.
- 2021: $127.24
- 2022: $609.79
- 2024: $510.96
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): 25 records totaling $510.96.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Alkermes, Inc. |
Food and Beverage
In-kind items and services
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VIVITROL | General | $29.86 |
| Indivior Inc. |
Food and Beverage
In-kind items and services
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SUBLOCADE | General | $28.86 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $25.78 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rybelsus | General | $24.16 |
| Lundbeck LLC |
Food and Beverage
Cash or cash equivalent
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REXULTI | General | $24.15 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $23.77 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $23.41 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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Cologuard Collection Kit | General | $22.99 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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FREESTYLE LIBRE 3 | General | $22.71 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $22.35 |
| Xeris Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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GVOKE HYPOPEN | General | $21.77 |
| Lundbeck LLC |
Food and Beverage
Cash or cash equivalent
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REXULTI | General | $21.66 |
| Xeris Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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GVOKE HYPOPEN | General | $20.69 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $20.11 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $19.65 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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KRYSTEXXA | General | $18.99 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $18.54 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $17.23 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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VOQUEZNA | General | $16.91 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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GARDASIL | General | $16.38 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $15.46 |
| JAZZ PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
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XYWAV | General | $15.06 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $13.76 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $13.51 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $13.20 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2018–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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108 | 56 | $213.80 | $103.50 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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68 | 50 | $144.41 | $73.31 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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19 | 19 | $229.00 | $104.27 |
|
36415
Insertion of needle into vein for collection of blood sample
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15 | 14 | $17.00 | $8.65 |
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81002
Urinalysis, manual test
|
11 | 11 | $9.00 | $3.41 |
|
G0008
Administration of influenza virus vaccine
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11 | 11 | $40.00 | $30.87 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 277 | 7,560 | $3,116.79 | 51 |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 145 | 4,080 | $28,185.28 | 18 |
| Gabapentin | Gabapentin | 125 | 4,740 | $1,192.23 | 26 |
| Lisinopril | Lisinopril | 92 | 7,620 | $859.64 | 38 |
| Simvastatin | Simvastatin | 85 | 7,590 | $1,007.37 | 34 |
| Amlodipine Besylate | Amlodipine Besylate | 83 | 6,007 | $533.34 | 30 |
| Omeprazole | Omeprazole | 81 | 5,820 | $698.29 | 29 |
| Levothyroxine Sodium | Levothyroxine Sodium | 72 | 5,660 | $821.79 | 29 |
| Atorvastatin Calcium | Atorvastatin Calcium | 69 | 5,570 | $1,068.44 | 32 |
| Clonazepam | Clonazepam | 65 | 1,725 | $942.78 | 11 |
| Losartan Potassium | Losartan Potassium | 65 | 5,550 | $743.63 | 24 |
| Metformin Hcl | Metformin Hcl | 64 | 4,974 | $714.39 | 24 |
| Tramadol Hcl | Tramadol Hcl | 60 | 1,518 | $208.36 | 13 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 46 | 1,534 | $2,081.38 | 22 |
| Metoprolol Succinate | Metoprolol Succinate | 45 | 3,360 | $931.69 | 15 |
| Alprazolam | Alprazolam | 42 | 1,175 | $160.83 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 41 | 2,310 | $89.99 | 16 |
| Ibuprofen | Ibuprofen | 39 | 1,855 | $444.12 | 16 |
| Escitalopram Oxalate | Escitalopram Oxalate | 36 | 1,970 | $267.30 | 11 |
| Trazodone Hcl | Trazodone Hcl | 36 | 1,969 | $396.23 | — |
| Duloxetine Hcl | Duloxetine Hcl | 34 | 2,276 | $1,805.62 | — |
| Quetiapine Fumarate | Quetiapine Fumarate | 31 | 1,166 | $204.70 | — |
| Buspirone Hcl | Buspirone Hcl | 30 | 1,237 | $585.80 | — |
| Ropinirole Hcl | Ropinirole Hcl | 28 | 1,380 | $373.70 | — |
| Ondansetron Hcl | Ondansetron Hcl | 27 | 260 | $200.51 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-12-28NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20170426002699
MI
1850678939
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Adult Health
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4154 W VIENNA RD STE A, CLIO, MI 484202807 (Tel: 8106863747)
Registered at 3495 S CENTER RD, BURTON, MI 485191455
Registered at 39465 W 14 MILE RD, NOVI, MI 483771600 (Tel: 2488593900)
Registered at 11125 DODGE RD, MONTROSE, MI 484579010 (Tel: 8102470425)
Nurse Practitioner (license number reported to NPPES: MI 4704221124)
NPI status registered as active in NPPES database
Registered at 2486 NERREDIA ST STE E, FLINT, MI 485324807 (Tel: 8102309901)
Registered at 2486 NERREDIA ST STE E, FLINT, MI 485324807 (Tel: 8102309901)
Recorded as DIANE HOLMES, NP
Nurse Practitioner (license number reported to NPPES: MI 4704221124)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
3495 S Center Rd
Burton, MI 485191455