ANN ELIZABETH HOLT-MINARD PA-C
NPI 1316094535
Physician Assistant - Medical in Portage, WI

Q: What is Ann Holt-minard's NPI number?

The NPI number for Ann Holt-minard is 1316094535. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Q: What is Ann Holt-minard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ann Holt-minard was last updated on July 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 03, 2007PECOS Enrolled

2817 NEW PINERY RD, PORTAGE, WI 53901(608) 742-4131 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ann Elizabeth Holt-minard Pa-c NPPES

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

ANN ELIZABETH HOLT-MINARD PA-C (NPI 1316094535) is an individual medical provider in Portage, Wisconsin, licensed in Wisconsin (2090-23) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1316094535

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameANN ELIZABETH HOLT-MINARDCredential: PA-C

Location Address2817 NEW PINERY RDPortage, WI 53901-9257

Mailing Address1010 N Washington StJanesville, WI 53548-1500 · (608) 741-3800 · Fax (608) 741-3838

Phone(608) 742-4131

Sole ProprietorNo

Enumeration DateJanuary 3, 2007

Last NPPES UpdateJuly 23, 2018

✔ NPI 1316094535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WI · 2090-23

2817 NEW PINERY RD, Portage, WI 53901

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Secondary Practice Location 1

Location 12817 New Pinery RdPortage, WI 53901-9257 · Phone (608) 742-4131

Other Identifiers 5

Other541760649WI · Wi Medicare

OtherHOLTMANNWI · Mercycare Insurance

Other1316094535WI · Bcbswi

Medicaid1316094535WI

Medicaid$$$$$$$$$001IL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann Elizabeth Holt-minard Pa-c 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.

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.

JAMES T GARITI SR. MD

Emergency Medicine