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ANNA J HOLMAN MD
NPI 1417480716
Family Medicine - Sports Medicine in Taylorsville, UT

Active since April 04, 2017PECOS Enrolled
69.15/100
CMS Quality Rating
4745 S 3200 W, TAYLORSVILLE, UT 84129(801) 964-6214(877) 497-4661 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Nov 4, 2021, Nov 4, 2018 and 1 more (4 updates tracked since 2018).

About Anna J Holman Md NPPES

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

ANNA J HOLMAN MD (NPI 1417480716) is an individual sports medicine provider in Taylorsville, Utah, licensed in Utah (10957120-1205) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417480716
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameANNA J HOLMANCredential: MD
Location Address4745 S 3200 WTaylorsville, UT 84129-2822
Mailing Address1455 W 2200 S Ste 300West Valley City, UT 84119-7219 · (801) 412-6920 · Fax (877) 497-4661
Phone(801) 964-6214
Fax(877) 497-4661
Sole ProprietorNo
Enumeration DateApril 4, 2017
Last NPPES UpdateJune 28, 20244 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1417480716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in UT · 10957120-1205
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 10957120-1205 (UT)
4745 S 3200 W, Taylorsville, UT 84129
Open in Google Maps ↗

Other Names 1

Former Name (1)Anna Lee Jackson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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)

Anna J Holman 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84129 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.56
Promoting Interoperability88
Improvement Activities40
Cost23.62

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.

AMBER SHARP HEISE MD
Pediatrics
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 964-6124
ZORICA ANDREA LJUBIC MD
Family Medicine
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (019) 646-2148
ANNIE KATHRYN KORNETZKE DO
Family Medicine
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 964-6214
MS. JAMILIETH CAMPOS ALEJANDRE
Student in an Organized Health Care Education/Training Program
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 964-6214
DR. ANDREW SORENSEN DO
Student in an Organized Health Care Education/Training Program
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 328-4045
DR. LILLIAN ELIZABETH HAYES MD
Family Medicine
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 964-6214
PAIGE HOLBROOK
Dentist (Dental Public Health)
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 964-6214
MARIA DALIA GARZA
Counselor (Mental Health)
4745 S 3200 W
SALT LAKE CITY, UT 84129
Salt Lake County (801) 964-6214

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 Anna Holman's NPI number?

The NPI number for Anna Holman is 1417480716. It was assigned to this individual provider in the NPPES registry on April 4, 2017. The provider is also known as Anna Lee Jackson.

Where is Anna Holman located?

Anna Holman practices at 4745 S 3200 W, Taylorsville, UT 84129. The listed phone number is (801) 964-6214.

What is Anna Holman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Anna Holman enrolled in Medicare?

Yes. Anna Holman is registered in the Medicare PECOS enrollment system.

What insurance does Anna Holman accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Anna Holman 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 Anna Holman was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.