Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandy Holthaus, NP

Individual provider Family Nurse Practitioner · NPI 1972922953

Brandy Holthaus, NP is a Nurse Practitioner in O Fallon, Illinois. Qualified in 2013, 13 years ago. Practices with Southern Illinois Healthcare Foundation Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2014
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

670 Pierce Blvd
O Fallon, IL 62269-2579
Phone: (618) 206-2094
Fax: (618) 607-5127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209011418 (IL)

Record details

NPI number1972922953
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 7, 2014
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address670 Pierce Blvd, O Fallon, IL 62269-2579

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Southern Illinois Healthcare Foundation Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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