KAYLA MAE HOLM PA-C
NPI 1003513979
Physician Assistant in Apple Valley, MN

Active since February 10, 2023PECOS EnrolledAccepts Medicare Assignment
15650 CEDAR AVE, APPLE VALLEY, MN 55124(952) 997-4100 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2023, Feb 10, 2023 (2 updates tracked since 2023).

About Kayla Mae Holm Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLA MAE HOLM PA-C (NPI 1003513979) is an individual physician assistant in Apple Valley, Minnesota, licensed in Minnesota (1200577) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003513979
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAYLA MAE HOLMCredential: PA-C
Location Address15650 CEDAR AVEApple Valley, MN 55124-7283
Mailing Address15650 Cedar AveApple Valley, MN 55124-7283 · (952) 997-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 10, 2023
Last NPPES UpdateJune 30, 20232 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
NPI 1003513979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 1200577
Definition

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.

15650 CEDAR AVE, Apple Valley, MN 55124

Other Names 1

Former Name (1)Kayla Mae Mack

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kayla Mae Holm Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567836687
PECOS Enrollment IDI20230313000988
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services75 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
82 services72 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services35 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
40 services40 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
30 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
15650 CEDAR AVE
APPLE VALLEY, MN 55124
Family Medicine
15650 CEDAR AVE
APPLE VALLEY, MN 55124
Family Medicine
15650 CEDAR AVE
APPLE VALLEY, MN 55124
Family Medicine
15650 CEDAR AVE
APPLE VALLEY, MN 55124
Family Medicine
15650 CEDAR AVE
APPLE VALLEY, MN 55124
Family Medicine
15650 CEDAR AVE, FAIRVIEW CLINIC APPLE VALLEY
APPLE VALLEY, MN 55124
Physician Assistant (Medical)
15650 CEDAR AVE
APPLE VALLEY, MN 55124
Health Educator
15650 CEDAR AVE
APPLE VALLEY, MN 55124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kayla Holm's NPI number?

The NPI number for Kayla Holm is 1003513979. It was assigned to this individual provider in the NPPES registry on February 10, 2023. The provider is also known as Kayla Mae Mack.

Where is Kayla Holm located?

Kayla Holm practices at 15650 Cedar Ave, Apple Valley, MN 55124. The listed phone number is (952) 997-4100.

What is Kayla Holm's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kayla Holm enrolled in Medicare?

Yes. Kayla Holm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kayla Holm accept?

Health plans from HealthPartners and Sanford Health Plan list Kayla Holm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kayla Holm affiliated with any hospitals?

According to CMS data, Kayla Holm is affiliated with M Health Fairview University Of Mn and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Kayla Holm was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.