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Kylie Marie Holthaus , PA-C

Physician Assistant β€’ Sidney, OH

Active NPI 1588556757 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

915 Michigan St
Sidney, OH 453652401

Call 9374982311 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

915 Michigan St

Sidney, OH 453652401

Telephone 9374982311
Organization at the Same NPPES Address or Phone
Shelby County Memorial Hospital Association Inc. Facility NPI 1639174204

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Wilson Care, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Ohio University, College Of Osteopathic Medicine

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kylie Holthaus 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kylie Holthaus 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Sidney and Ohio

3 active clinicians are listed under Physician Assistant with a practice address in Sidney, OH (5,329 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.009595RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260316003216

Enrollment State Jurisdiction

OH

PECOS Control ID

8426531617

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Wilson Care, Llc

915 Michigan St, Sidney, OH 453652401

Phone: 9374945933

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Tammie Kelton , APRN

Nurse Practitioner - Family

NPI 1467946780

Advanced Practice Registered Nurse

NPI 1043886799

Doctor of Osteopathic Medicine (D.O.)

Angela Rogers , FNP-C

Preventive Medicine - Occupational Medicine

NPI 1669996963

Family Nurse Practitioner (Certified)

Dr. Donald Smith , PHD RN AGACNP-BC NPC

Nurse Practitioner - Family

NPI 1043615420

PHDRNAGACNPBCNPC

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 04, 2026

Recorded as KYLIE HOLTHAUS, PA-C

βœ…
NPI Profile Active July 21, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 21, 2025

Registered at 915 MICHIGAN ST, SIDNEY, OH 453652401 (Tel: 9374982311)

πŸ“
Business Mailing Address (Initial Record) July 21, 2025

Registered at 111A LIBERTY WAY, FORT LORAMIE, OH 458459453 (Tel: 2607061984)

πŸ‘€
Provider Name / Credentials (Initial Record) July 21, 2025

Recorded as KYLIE POST, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2025

Physician Assistant (license number reported to NPPES: OH 50.009595RX)

🟒
Initial NPI Registration & Enumeration July 21, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588556757
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2025
Last Update: March 04, 2026
Sole Proprietor: No

Mailing Address

111a Liberty Way

Fort Loramie, OH 458459453

Phone: 2607061984

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.