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ZACHARY JAMES HOLM PMHNP-C
NPI 1851281414
Nurse Practitioner - Psychiatric/Mental Health in Moorhead, MN

Active since July 07, 2025PECOS EnrolledAccepts Medicare Assignment
4000 28TH AVE S, MOORHEAD, MN 56560(701) 234-2000 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2025, Jul 7, 2025 (2 updates tracked since 2025).

About Zachary James Holm Pmhnp-c NPPES

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

ZACHARY JAMES HOLM PMHNP-C (NPI 1851281414) is an individual psychiatric/mental health provider in Moorhead, Minnesota, licensed in Minnesota (13097) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1851281414
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameZACHARY JAMES HOLMCredential: PMHNP-C
Location Address4000 28TH AVE SMoorhead, MN 56560-7926
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Phone(701) 234-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 7, 2025
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1851281414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 13097
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License R50064 (ND)
4000 28TH AVE S, Moorhead, MN 56560
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan 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 and accepts Medicare assignment

Zachary James Holm Pmhnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062911373
PECOS Enrollment IDI20250814003709, I20260121001168
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 Zachary Holm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center Fargo
6.6 mi
Occupational Medicine
3838 12TH AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota and Minnesota enrollments
  • Also billed through NPI 1184917924 (Minnesota)
  • 1,464 clinicians in this Medicare group
NPI 1952323974 (701) 234-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56560 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

CARLEY MARIE BAYER APRN, CNP
Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560
Clay County (701) 234-3200
SAMANTHA BARTELT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4000 28TH AVE S
MOORHEAD, MN 56560
Clay County (701) 234-3200
HEATHER ALYSSA BRUGGEMAN MD
Family Medicine
4000 28TH AVE S
MOORHEAD, MN 56560
Clay County (701) 234-3200
ASHTON MADSEN BA, MHP
Counselor
4000 28TH AVE S
MOORHEAD, MN 56560
Clay County (701) 234-3200
SAMANTHA J PERLEBERG M.D.
Pediatrics
4000 28TH AVE S
MOORHEAD, MN 56560
Clay County (701) 234-3200
KYRA DECKER MSN, AGACNP-BC
Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560
Clay County (701) 234-3261
DR. JOHN MICHAEL TINJUM M.D.
Internal Medicine
4000 28TH AVE S
MOORHEAD, MN 56560
Clay County (701) 234-3261
AMY JOY BRO CNP
Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560
Clay County (701) 234-3200

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 Zachary Holm's NPI number?

The NPI number for Zachary Holm is 1851281414. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Zachary Holm located?

Zachary Holm practices at 4000 28th Ave S, Moorhead, MN 56560. The listed phone number is (701) 234-2000.

What is Zachary Holm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Zachary Holm enrolled in Medicare?

Yes. Zachary Holm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Zachary Holm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Holm reassigns Medicare benefits to Sanford Medical Center Fargo (Fargo, ND). 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 Zachary Holm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Holm accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan and Security Health Plan list Zachary Holm 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.

Is Zachary Holm affiliated with any hospitals?

According to CMS data, Zachary Holm is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Zachary Holm was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.