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HOLLY P. MINTZ MD
NPI 1093706418
Pediatrics in Manchester, NH

Active since November 03, 2005PECOS Enrolled
275 MAMMOTH RD, SUITE #1, MANCHESTER, NH 03109(603) 663-8350(603) 663-8399 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Holly P. Mintz Md NPPES

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

HOLLY P. MINTZ MD (NPI 1093706418) is an individual pediatrics provider in Manchester, New Hampshire, licensed in New Hampshire (9778) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093706418
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameHOLLY P. MINTZCredential: MD
Location Address275 MAMMOTH RD, SUITE #1Manchester, NH 03109-4133
Mailing Address275 Mammoth Rd, Suite #1Manchester, NH 03109-4133 · (603) 663-8350 · Fax (603) 663-8399
Phone(603) 663-8350
Fax(603) 663-8399
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateAugust 5, 2015
✔ NPI 1093706418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NH · 9778
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
275 MAMMOTH RD, Manchester, NH 03109
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Other Identifiers 11

Other20123YNH · Anthem Referring Ran
Other406453NH · Tufts Pin
Other585082NH · Aetna Pin
Medicare UPINI00742
Medicare PINRE7535NH
Other1240728NH · Uhc Pin
OtherP041216NH · Oxford Pin
Other0107787YPNH01NH · Anthem Aces Pin
Other259711NH · Cigna Pin
OtherHLO005NH · Hphc Pin
Medicaid30009797NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly P. Mintz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Holly Mintz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cowlitz Indian Tribe
2,500 mi
Rehabilitation, Substance Use Disorder
7105 NE 40TH ST
Vancouver, WA 98661
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Bristol Bay Area Health Corporation
  • 360 clinicians in this Medicare group
NPI 1538412630 (360) 353-9431

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03109 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
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 15

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

CHRISTINA L. FERRERI ARNP
Nurse Practitioner
275 MAMMOTH RD, SUITE #1
MANCHESTER, NH 03109
Hillsborough County (603) 663-8350
STEVEN B SCHWARTZ MD
Internal Medicine
275 MAMMOTH RD, SUITE 4
MANCHESTER, NH 03109
Hillsborough County (603) 624-4380
HAROHALLI R SHASHIDHAR MD
Pediatrics (Pediatric Gastroenterology)
275 MAMMOTH RD, SUITE 1
MANCHESTER, NH 03109
Hillsborough County (603) 663-3222
LOUIS J. NACKMAN MD
Pediatrics
275 MAMMOTH RD, SUITE 2
MANCHESTER, NH 03109
Hillsborough County (603) 663-8300
MARK D. MYERS MD
Pediatrics
275 MAMMOTH RD, SUITE #1
MANCHESTER, NH 03109
Hillsborough County (603) 663-8350
ELLIOT HOSPITAL
General Acute Care Hospital
275 MAMMOTH RD, SUITE 3
MANCHESTER, NH 03109
Hillsborough County (603) 663-8400
SANDRA C. TRUEBE MD
Pediatrics
275 MAMMOTH RD, SUITE 2
MANCHESTER, NH 03109
Hillsborough County (603) 663-8300
MARY E. PULASKI MD
Pediatrics
275 MAMMOTH RD, SUITE #1
MANCHESTER, NH 03109
Hillsborough County (603) 663-8350

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 Holly Mintz's NPI number?

The NPI number for Holly Mintz is 1093706418. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Holly Mintz located?

Holly Mintz practices at 275 Mammoth Rd Suite #1, Manchester, NH 03109. The listed phone number is (603) 663-8350.

What is Holly Mintz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Holly Mintz enrolled in Medicare?

Yes. Holly Mintz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Holly Mintz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Mintz reassigns Medicare benefits to Cowlitz Indian Tribe (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Mintz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Mintz accept?

Health plans from Anthem Blue Cross and Blue Shield list Holly Mintz 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.

When was this NPI record last updated?

The NPPES record for Holly Mintz was last updated on August 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.