Individual provider Active NPI

Nicholas Holwey, PA

  • Physician Assistant
  • Urbana, IL
National Provider Identifier
1093143869
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.004823 Issued in IL
Practice address
611 W. Park St.
Emergency Room
Urbana, IL 61801-2500
Phone
(217) 383-3311
Fax
(217) 383-4014
NPI assigned
Oct 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.004823 IL Primary

Addresses

Primary practice location

611 W. Park St.
Emergency Room
Urbana, IL 61801-2500

Mailing address

611 W. Park St.
BWPC
Urbana, IL 61801-2500
Phone (217) 383-6792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140103000219 IL Practitioner - Physician Assistant 3779711452 Reassigns benefits to 4 organizations
I20251231002534 WI Practitioner - Physician Assistant 3779711452 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.004823ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Mar 18, 2021 Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 26, 2020 Accepting new patients
Rush University Medical Group CurrentSince Nov 6, 2023 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Mar 18, 2021 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Rush University Medical Center CurrentSince Nov 6, 2023 Accepting new patients
Carle Health Care Incorporated CurrentSince Jun 16, 2014 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Dec 15, 2025 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

29980 Network Pl
Chicago, IL 60673

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

801 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

2512 Hurst Dr
Ste 130
Mattoon, IL 61938
Phone (217) 258-5900

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

143 S Gibson St
Medford, WI 54451
Phone (715) 748-2121

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Tomahawk, WI 54487
Phone (715) 453-7200

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: nholweypa193623@carlehiedirect.net

Organizations & group practices 30

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 30

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1093143869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "BWPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-6792",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "EMERGENCY ROOM",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-3311",
            "fax_number": "217-383-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLWEY",
        "first_name": "NICHOLAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-14",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.