Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANNA J HOLMAN MD
NPI 1417480716
Family Medicine in Park City, UT

Active since April 04, 2017PECOS Enrolled
69.15/100
CMS Quality Rating
900 ROUND VALLEY DR STE 110, PARK CITY, UT 84060(435) 658-6750 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, Aug 14, 2026, Jun 28, 2024 and 3 more (6 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 family medicine provider in Park City, Utah, licensed in Utah (10957120-1205) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Taylorsville.

NPPES Registry Identity

NPI1417480716
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANNA J HOLMANCredential: MD
Location Address900 ROUND VALLEY DR STE 110Park City, UT 84060-7552
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Sole ProprietorNo
Enumeration DateApril 4, 2017
Last NPPES UpdateAugust 19, 20266 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
NPI 1417480716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 10957120-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 10957120-1205 (UT)
900 ROUND VALLEY DR STE 110, Park City, UT 84060

Other Names 1

Former Name (1)Anna Lee Jackson

Secondary Practice Location 1

Location 14745 S 3200 WTaylorsville, UT 84129-2822 · Phone (801) 964-6214 · Fax (877) 497-4661

Accepted 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 84060 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 13

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

Dietitian, Registered
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Dietitian, Registered
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Dietitian, Registered
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Acupuncturist
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Family Medicine
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Dietitian, Registered
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Dietitian, Registered
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Massage Therapist
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060

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 900 Round Valley Dr Ste 110, Park City, UT 84060. The listed phone number is (435) 658-6750.

What is Anna Holman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.