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

Justine Holthaus

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1316412174

Justine Holthaus is a Nurse Practitioner in Middletown, Ohio. Qualified in 2018, 8 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
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Practice location Address checks out

6147 State Route 122 Ste 200
Middletown, OH 45005-5201
Phone: (937) 490-2090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4100 W 3rd St, Dayton, OH 45428-9000 — (937) 268-6511

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.023492 (OH)

Record details

NPI number1316412174
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2018
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022
Mailing address1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Middletown