AMANDA HOLMAN DO
NPI 1669978623
Pediatrics in Stansbury Park, UT

Q: What is Amanda Holman's NPI number?

The NPI number for Amanda Holman is 1669978623. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Q: What is Amanda Holman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Holman was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 30, 2018PECOS Enrolled

220 MILLPOND STE 100, STANSBURY PARK, UT 84074(435) 843-3000 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2025, Nov 15, 2021, Apr 27, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Amanda Holman Do NPPES

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

AMANDA HOLMAN DO (NPI 1669978623) is an individual pediatrics provider in Stansbury Park, Utah, licensed in Alabama (DO.2126) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669978623

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameAMANDA HOLMANCredential: DO

Location Address220 MILLPOND STE 100Stansbury Park, UT 84074-9760

Mailing Address220 Millpond Ste 100Stansbury Pk, UT 84074-9760 · (435) 843-3000

Phone(435) 843-3000

Sole ProprietorNo

Enumeration DateMarch 30, 2018

Last NPPES UpdateJune 4, 20254 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1669978623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AL · DO.2126

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

220 MILLPOND STE 100, Stansbury Park, UT 84074

Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Holman Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Holman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Community Physicians Group

Same address

Family Medicine

220 MILLPOND STE 100
Stansbury Pk, UT 84074

Reassigned Medicare billing, Utah enrollment
295 clinicians in this Medicare group

NPI 1497159107 (435) 843-3000

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 84074 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.

Other Providers at the Same Location NPPES 10

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

ADAM WEBSTER PHARMD

Pharmacist

220 MILLPOND STE 100
STANSBURY PARK, UT 84074

Tooele County (435) 843-3050

MRS. JENNY REBECCA LEFFLER LCSW

Social Worker (Clinical)

220 MILLPOND STE 100
STANSBURY PARK, UT 84074

Tooele County (435) 843-3096

MICHAEL WILD MD

Family Medicine

220 MILLPOND STE 100
STANSBURY PARK, UT 84074

Tooele County (435) 843-3000

UNIVERSITY OF UTAH

Clinic/Center (Multi-Specialty)

220 MILLPOND STE 100
TOOELE, UT 84074

Tooele County (435) 843-3000

MS. FEI YUE ZHANG RPH

Pharmacist

220 MILLPOND STE 100
STANSBURY PARK, UT 84074

Tooele County (435) 843-3052

AMBER MARGOLIS LCSW

Social Worker (Clinical)

220 MILLPOND STE 100
STANSBURY PARK, UT 84074

Tooele County (435) 843-3026

UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP

Family Medicine

220 MILLPOND STE 100
STANSBURY PK, UT 84074

Tooele County (435) 843-3000

MS. MARIANNE MABEY PHARMD

Pharmacist

220 MILLPOND STE 100
STANSBURY PARK, UT 84074

Tooele County (435) 843-3052

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 Amanda Holman's NPI number?

The NPI number for Amanda Holman is 1669978623. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Amanda Holman located?

Amanda Holman practices at 220 Millpond Ste 100, Stansbury Park, UT 84074. The listed phone number is (435) 843-3000.

What is Amanda Holman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amanda Holman enrolled in Medicare?

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

Which organization bills Medicare for Amanda Holman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Holman reassigns Medicare benefits to University Of Utah Community Physicians Group (Stansbury Pk, UT). The 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 Amanda Holman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Holman accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Amanda 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 Amanda Holman was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.