MARY HOLTHAUS PA
NPI 1285296913
Physician Assistant - Medical in Annapolis, MD

Active since July 02, 2019PECOS EnrolledAccepts Medicare Assignment
122 DEFENSE HWY STE 210, ANNAPOLIS, MD 21401(410) 266-9694 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2023, Oct 15, 2021, Oct 8, 2021 and 2 more (5 updates tracked since 2019).

About Mary Holthaus Pa NPPES

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

MARY HOLTHAUS PA (NPI 1285296913) is an individual medical provider in Annapolis, Maryland, licensed in Maryland (C07349) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains a secondary practice location in Stevensville.

NPPES Registry Identity

NPI1285296913
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY HOLTHAUSCredential: PA
Location Address122 DEFENSE HWY STE 210Annapolis, MD 21401-7071
Mailing Address122 Defense Hwy Ste 210Annapolis, MD 21401-7071 · (240) 205-5832
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 2, 2019
Last NPPES UpdateJanuary 19, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
NPI 1285296913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MD · C07349
122 DEFENSE HWY STE 210, Annapolis, MD 21401

Secondary Practice Location 1

Location 1130 Love Point Rd Ste 107Stevensville, MD 21666-2132 · Phone (410) 266-9694

Other Identifiers 1

OtherC07349MD · Maryland Board Of Physicians

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

Mary Holthaus Pa 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 ID7416389705
PECOS Enrollment IDI20240306004444
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

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services21 patients

Hospital Affiliations CMS Care Compare

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$34.49 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers15 claims15 services$47.77 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers13 claims13 services$16.49 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers14 claims84 services$2.00 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers61 claims63 services$20.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
122 DEFENSE HWY STE 210
ANNAPOLIS, MD 21401
Physician Assistant (Medical)
122 DEFENSE HWY STE 210
ANNAPOLIS, MD 21401

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 Mary Holthaus's NPI number?

The NPI number for Mary Holthaus is 1285296913. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Mary Holthaus located?

Mary Holthaus practices at 122 Defense Hwy Ste 210, Annapolis, MD 21401. The listed phone number is (410) 266-9694.

What is Mary Holthaus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Holthaus enrolled in Medicare?

Yes. Mary Holthaus 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.

Is Mary Holthaus affiliated with any hospitals?

According to CMS data, Mary Holthaus is affiliated with Medical College Of Virginia Hospitals.

When was this NPI record last updated?

The NPPES record for Mary Holthaus was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.