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

Mrs. Ellen Terese Holm, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1942606413

Mrs. Ellen Terese Holm, AGPCNP-BC is a Nurse Practitioner in Bettendorf, Iowa. Qualified in 2014, 12 years ago. Practices with Genesis Health System, a 262-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2014

Practice location Address checks out

3682 Utica Ridge Rd Unit A
Bettendorf, IA 52722-1648
Phone: (563) 370-1853
Fax: (563) 386-0965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2014015805 (IN)

Record details

NPI number1942606413
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedNovember 11, 2014
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Genesis Health System — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bettendorf