ANNA J HOLMAN MD
NPI 1417480716
Family Medicine in Park City, UT
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anna J Holman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Anna Holman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Park City, UT 84060
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Park City, UT 84060
- Reassigned Medicare billing, Utah enrollment
- 295 clinicians in this Medicare group
Salt Lake City, UT 84116
- Reassigned Medicare billing, Utah enrollment
- 59 clinicians in this Medicare group
Salt Lake City, UT 84111
- Reassigned Medicare billing, Utah enrollment
- 3 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.
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.
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.
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.
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.
Which organizations bill Medicare for Anna Holman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anna Holman reassigns Medicare benefits to 4 organizations: Ihc Health Services Inc (Park City, UT), University Of Utah Community Physicians Group (Park City, UT), Community Health Centers, Inc. (Salt Lake City, UT) and Evolutionary Healthcare LLC (Salt Lake City, UT). 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 Anna Holman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anna Holman accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health 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 2 months 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.
# Anna J Holman, MD · NPI 1417480716
Family Medicine physician in Park City, Utah. Individual provider, active in the CMS NPPES registry since April 4, 2017.
## Identity
- **NPI:** 1417480716 (Entity type: Individual)
- **Enumerated:** April 4, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 10957120-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 ROUND VALLEY DR STE 110, Park City, UT 84060-7552
- **Phone:** (435) 658-6750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1174396204, Park City, UT); University Of Utah Community Physicians Group (NPI 1285038984, Park City, UT); Community Health Centers, Inc. (NPI 1538267828, Salt Lake City, UT); Evolutionary Healthcare LLC (NPI 1851349344, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417480716) · Data from the CMS NPPES public registry.