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Active NPI 1386389815 Individual Practitioner Male Practitioner

Kyle Joseph Holder , FNP-BC

Nurse Practitioner • Crystal Lake, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kyle Holder, FNP-BC is a certified Nurse Practitioner practicing in Crystal Lake, IL. With approximately 5 years of clinical experience since graduating from Saint Louis University School Of Medicine in 2021, Kyle Holder delivers high-quality medical care to the local community at 360 STATION DR STE 300.

Kyle Holder is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

360 Station Dr Ste 300

Crystal Lake, IL 600148003

Telephone 8154551800
Fax 8154551875
Associated Practice Facility / Clinic
🏢 Center For Neurology Sc Facility NPI 1437117207

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Crystal Lake, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -3.2 yrs vs City Avg
City Avg: 8.2 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
22 Specialists

Practicing in Crystal Lake, IL (4929 Statewide)

Telehealth Adoption Rate
31.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
51.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Holder (5 Years) 5 Yrs
Crystal Lake Specialty Average (8.2 Years) 8.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
21 20 $110.00 $53.85

Medical Specialties & State Licenses

CMS Verified: 2025-01-14
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209031072

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MO 2022015229

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aprn License Number
2022015229 (MO)

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

360 Station Dr, Crystal Lake, IL 600148003

Phone: 8153443900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Jessica Wolf , MD

Psychiatry & Neurology - Neurology

NPI 1104441252

Doctor of Medicine (M.D.)

Candace Esposito , FNP-BC

Nurse Practitioner

NPI 1114568367

Family Nurse Practitioner (Board Certified)

Dr. Nicole Garcia , PsyD

Clinical Neuropsychologist

NPI 1194552752

Doctor of Psychology (Psy.D.)

Dr. Ricardo Kohn , MD

Psychiatry & Neurology - Neurology

NPI 1295720886

Doctor of Medicine (M.D.)

Dr. Benjamin Nager , MD

Psychiatry & Neurology - Neurology

NPI 1508824376

Doctor of Medicine (M.D.)

Michelle Sanfilippo , PA-C

Physician Assistant

NPI 1679628374

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 14, 2025

Registered at 360 STATION DR STE 300, CRYSTAL LAKE, IL 600148003 (Tel: 8154551800)

📍
Updated Business Mailing Address January 14, 2025

Registered at 360 STATION DR STE 300, CRYSTAL LAKE, IL 600148003 (Tel: 8154551800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2025

Nurse Practitioner (License #209031072 in IL)

📍
Updated Practice Location August 04, 2022

Registered at 1225 S GRAND BLVD, SAINT LOUIS, MO 631041016 (Tel: 3149776082)

📍
Updated Business Mailing Address August 04, 2022

Registered at 1225 S GRAND BLVD, SAINT LOUIS, MO 631041016 (Tel: 3149776082)

NPI Profile Active April 29, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2022

Registered at 5914 SUSON PL APT 1, SAINT LOUIS, MO 631391820 (Tel: 8154843642)

📍
Updated Business Mailing Address April 29, 2022

Registered at 5914 SUSON PL APT 1, SAINT LOUIS, MO 631391820 (Tel: 8154843642)

👤
Provider Name / Credentials Updated April 29, 2022

Recorded as KYLE HOLDER, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2022

Nurse Practitioner (License #2022015229 in MO)

🟢
Initial NPI Registration & Enumeration April 29, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386389815
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2022
Last Update: January 14, 2025
Sole Proprietor: No

Mailing Address

360 Station Dr Ste 300

Crystal Lake, IL 600148003

Phone: 8154551800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.