Karl M Holmes, PAC
Individual provider Active NPI Physician Assistant · Keystone, IA
NPI 1124006887 · NPPES record last updated Oct 19, 2007
Key facts
- NPI
- 1124006887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 001034 (IA)
- Practice address
- 214 3Rd St
Keystone, IA 52249-9520 - Phone
- (319) 442-3215
- Fax
- (319) 442-3217
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.33 of 100
- Quality
- 90.96
- Promoting interoperability
- 81
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.17 of 100
- Quality
- 55.61
- Promoting interoperability
- 0
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100220000242 | IA | Practitioner - Physician Assistant | 6901940519 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Jones Regional Medical Center | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| People'S Memorial Hospital | Physician Assistant | Past | Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
1795 Highway 64 E
Ste 1
Anamosa, IA 52205
Phone (319) 481-6291
1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161
105 9th Ave
Belle Plaine, IA 52208
Phone (319) 444-2840
1600 1st St E
Independence, IA 50644
Phone (319) 332-0999
214 3rd St
Keystone, IA 52249
Phone (319) 442-3215
Interoperability endpoints
- kholmes117970@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001034 | IA | Yes |
Addresses
Primary practice location
214 3Rd St
Keystone, IA 52249-9520
Mailing address
214 3Rd St
PO Box 305
Keystone, IA 52249-9520
Phone (319) 442-3215
Other providers in Keystone, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.