MARY K HOLBACH CRNA
NPI 1720187719
Nurse Anesthetist, Certified Registered in Lake Elmo, MN

Q: What is Mary Holbach's NPI number?

The NPI number for Mary Holbach is 1720187719. It was assigned to this individual provider in the NPPES registry on September 22, 2006. The provider is also known as Mary K Moder.

Q: What is Mary Holbach's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Holbach was last updated on October 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 22, 2006PECOS Enrolled

8681 EAGLE POINT BLVD, LAKE ELMO, MN 55042(651) 251-8021(651) 251-8050 Get Directions Write a Review

NPPES record last updated: October 4, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mary K Holbach Crna NPPES

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

MARY K HOLBACH CRNA (NPI 1720187719) is an individual nurse anesthetist, certified registered in Lake Elmo, Minnesota, licensed in Minnesota (R0944360) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720187719

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMARY K HOLBACHCredential: CRNA

Location Address8681 EAGLE POINT BLVDLake Elmo, MN 55042-8628

Mailing Address8681 Eagle Point BlvdLake Elmo, MN 55042-8628 · (651) 251-8021 · Fax (651) 251-8050

Phone(651) 251-8021

Fax(651) 251-8050

Sole ProprietorNo

Enumeration DateSeptember 22, 2006

Last NPPES UpdateOctober 4, 2010

✔ NPI 1720187719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MN · R0944360

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

8681 EAGLE POINT BLVD, Lake Elmo, MN 55042

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Other Names 1

Former Name (1)Mary K Moder

Other Identifiers 2

Medicare ID-Type Unspecified430003883MN

Medicaid861343500MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary K Holbach Crna 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55042 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 4

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

THOMAS C SANNEMAN M.D.

Anesthesiology

8681 EAGLE POINT BLVD
LAKE ELMO, MN 55042

Washington County (651) 735-0501

ASSOCIATED ANESTHESIOLOGISTS PA

Anesthesiology

8681 EAGLE POINT BLVD
LAKE ELMO, MN 55042

Washington County (651) 251-8021

NICOLET L NEWHOFF CRNA

Nurse Anesthetist, Certified Registered

8681 EAGLE POINT BLVD
LAKE ELMO, MN 55042

Washington County (651) 241-5317

MELISSA SOLIDAY CRNA

Nurse Anesthetist, Certified Registered

8681 EAGLE POINT BLVD
LAKE ELMO, MN 55042

Washington County (651) 735-0501

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 Mary Holbach's NPI number?

The NPI number for Mary Holbach is 1720187719. It was assigned to this individual provider in the NPPES registry on September 22, 2006. The provider is also known as Mary K Moder.

Where is Mary Holbach located?

Mary Holbach practices at 8681 Eagle Point Blvd, Lake Elmo, MN 55042. The listed phone number is (651) 251-8021.

What is Mary Holbach's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mary Holbach enrolled in Medicare?

Yes. Mary Holbach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Holbach was last updated on October 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.