Individual provider Active NPI

Martha Mary Holmquist, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glenwood, MN
National Provider Identifier
1295793297
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8946 Issued in MN
Practice address
20350 County Road 39
Glenwood, MN 56334-4004
Phone
(320) 760-6925
Fax
(320) 239-2623
NPI assigned
May 2, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8946 MN Primary

Addresses

Primary practice location

20350 County Road 39
Glenwood, MN 56334-4004

Mailing address

PO Box 265
Glenwood, MN 56334-0265
Phone (320) 760-6925

Other practice location 1

1250 Wayzata Blvd E Unit 1173
Wayzata, MN 55391-1951
Phone (320) 760-6925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220504001791 MN Practitioner - Nurse Practitioner 8426445727 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8946MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Oct 18, 2025 Accepting new patients
Crossroads Counseling Centers, Inc. PastSince Jun 1, 2023 Accepting new patients

Locations

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1295793297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563340265",
            "telephone_number": "320-760-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20350 COUNTY ROAD 39",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563344004",
            "telephone_number": "320-760-6925",
            "fax_number": "320-239-2623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Wayzata Blvd E Unit 1173",
            "address_purpose": "LOCATION",
            "city": "Wayzata",
            "state": "MN",
            "postal_code": "553911951",
            "country_code": "US",
            "telephone_number": "320-760-6925",
            "fax_number": "320-239-2623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMQUIST",
        "first_name": "MARTHA",
        "middle_name": "MARY",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, MN

Sources for this page

Verify at the official NPI Registry.