PETRA HOLKA NURSE PRACTITIONER
NPI 1790164176
Nurse Practitioner - Adult Health in Warren, MI

Q: What is Petra Holka's NPI number?

The NPI number for Petra Holka is 1790164176. It was assigned to this individual provider in the NPPES registry on May 19, 2015.

Q: What is Petra Holka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Petra Holka was last updated on May 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 19, 2015PECOS Enrolled

11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5000 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Petra Holka Nurse Practitioner NPPES

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

PETRA HOLKA NURSE PRACTITIONER (NPI 1790164176) is an individual adult health provider in Warren, Michigan, licensed in Michigan (4704201730) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790164176

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NamePETRA HOLKACredential: NURSE PRACTITIONER

Location Address11800 E 12 MILE RDWarren, MI 48093-3472

Mailing Address44666 Georgia CtClinton Township, MI 48038-1072 · (248) 895-1101

Phone(586) 573-5000

Sole ProprietorYes

Enumeration DateMay 19, 2015

✔ NPI 1790164176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 4704201730

11800 E 12 MILE RD, Warren, MI 48093

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petra Holka Nurse Practitioner 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 48093 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 20

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

DR. MICHEAL BUGGIA M.D.

Emergency Medicine