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SOPHIA HOLLAND
NPI 1255253704
Nurse Practitioner - Family in Mayer, MN

Active since July 27, 2026PECOS Enrolled
12675 58TH ST, MAYER, MN 55360(952) 992-9663 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sophia Holland NPPES

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

SOPHIA HOLLAND (NPI 1255253704) is an individual family provider in Mayer, Minnesota, licensed in Minnesota (2310633) and active in the NPI registry since July 2026. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255253704
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameSOPHIA HOLLAND
Location Address12675 58TH STMayer, MN 55360-9615
Mailing Address12675 58th StMayer, MN 55360-9615 · (952) 992-9663
Phone(952) 992-9663
Sole ProprietorNo
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1255253704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 2310633
12675 58TH ST, Mayer, MN 55360
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Holland 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55360 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Sophia Holland's NPI number?

The NPI number for Sophia Holland is 1255253704. It was assigned to this individual provider in the NPPES registry on July 27, 2026.

Where is Sophia Holland located?

Sophia Holland practices at 12675 58th St, Mayer, MN 55360. The listed phone number is (952) 992-9663.

What is Sophia Holland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sophia Holland enrolled in Medicare?

Yes. Sophia Holland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Holland was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.