JENNIFER HOLM
NPI 1265881841
Nurse Practitioner - Family in Mankato, MN

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
1230 E MAIN ST, MANKATO, MN 56001(507) 389-8502(507) 625-3928 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 23, 2018, Jul 1, 2016 (2 updates tracked since 2016).

About Jennifer Holm NPPES

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

JENNIFER HOLM (NPI 1265881841) is an individual family provider in Mankato, Minnesota, licensed in Minnesota (CNP 4581) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265881841
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER HOLM
Location Address1230 E MAIN STMankato, MN 56001
Mailing Address1230 E Main StMankato, MN 56001-5066 · (507) 625-1811 · Fax (507) 389-8576
Fax(507) 625-3928
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateJune 4, 20182 updates tracked since enumeration
✔ NPI 1265881841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · CNP 4581
Also ListedNurse PractitionerTaxonomy 363L00000X · License CNP4581 (MN)
1230 E MAIN ST, Mankato, MN 56001

Secondary Practice Locations 2

Location 18170 Old Carriage Ct Ste 100Shakopee, MN 55379-3164 · Phone (952) 428-3600 · Fax (952) 428-3636
Location 2165 W Commerce DrBelle Plaine, MN 56011-2911 · Phone (952) 442-2191

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Holm 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 ID8224321021
PECOS Enrollment IDI20160801000198
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 Reassignments

5

Medicare enrollment records show Jennifer Holm reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
1900 SUNRISE DR
St Peter, MN 56082
  • Reassigned Medicare billing, Minnesota enrollment
  • 57 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
1324 5TH ST N
New Ulm, MN 56073
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
Clinic/Center
265 CREEK LN S
Jordan, MN 55352
  • Reassigned Medicare billing, Minnesota enrollment
  • 320 clinicians in this Medicare group
Nurse Practitioner
1455 SAINT FRANCIS AVE
Shakopee, MN 55379
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Suburban Emergency Associates PA
  • 37 clinicians in this Medicare group
Otolaryngology/Facial Plastic Surgery
14020 HWY 13 S STE 350
Savage, MN 55378
  • Reassigned Medicare billing, Minnesota enrollment
  • 23 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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.

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.

Surgery
1230 E MAIN ST
MANKATO, MN 56001
Internal Medicine (Hematology & Oncology)
1230 E MAIN ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1230 E MAIN ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1230 E MAIN ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1230 E MAIN ST
MANKATO, MN 56001
Internal Medicine (Hematology & Oncology)
1230 E MAIN ST, MANKATO CLINIC AT MAIN STREET
MANKATO, MN 56001
Physical Therapist
1230 E MAIN ST
MANKATO, MN 56001
Physician Assistant
1230 E MAIN ST
MANKATO, MN 56001

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 Jennifer Holm's NPI number?

The NPI number for Jennifer Holm is 1265881841. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Jennifer Holm located?

Jennifer Holm practices at 1230 E Main St, Mankato, MN 56001. The listed phone number is (507) 389-8502.

What is Jennifer Holm's specialty?

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

Is Jennifer Holm enrolled in Medicare?

Yes. Jennifer 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.

Which organizations bill Medicare for Jennifer Holm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Holm reassigns Medicare benefits to 5 organizations: River's Edge Hospital & Clinic (St Peter, MN), Allina Health System (New Ulm, MN), St Francis Regional Medical Center (Jordan, MN), Suburban Emergency Associates, P.A. (Shakopee, MN) and Primary Ent, L.L.C. (Savage, MN). Each 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 Jennifer Holm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Holm accept?

Health plans from HealthPartners and Medica list Jennifer 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.

When was this NPI record last updated?

The NPPES record for Jennifer Holm was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.