NPIMap

Individual provider Active NPI

Corey Holt, DO

  • Family Medicine Physician
  • Minden, NV
National Provider Identifier
1306461090
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO3413 Issued in NV
Practice address
1649 Lucerne St Ste a
Minden, NV 89423-4361
Phone
(775) 782-1603
Fax
(775) 782-3417
NPI assigned
Jun 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3413 NV Primary

Addresses

Primary practice location

1649 Lucerne St Ste a
Minden, NV 89423-4361

Mailing address

1649 Lucerne St Ste a
Minden, NV 89423-4361
Phone (775) 782-1603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221028000119 TX Practitioner - Family Practice 8921475385
I20230815004274 NV Practitioner - Family Practice 8921475385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Valley Medical Center Rural Health ClinicGroup PAC ID 2860579984, 43 clinicians

Practice addresses (Care Compare)

897 Ironwood Dr
Minden, NV 89423-5198
Phone (775) 782-1610

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Valley Medical Center Rural Health Clinic CurrentSince Aug 7, 2023 Accepting new patients

Locations

1520 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 782-1550

897 Ironwood Dr
Minden, NV 89423
Phone (775) 364-1411

1649 Lucerne St
Minden, NV 89423
Phone (775) 782-1603

1649 Lucerne St
Ste A
Minden, NV 89423
Phone (775) 782-1601

Interoperability endpoints

  • Direct secure messaging: cholt198443@direct.renown.org

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1306461090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 LUCERNE ST STE A",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234361",
            "telephone_number": "775-782-1603",
            "fax_number": "775-782-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 LUCERNE ST STE A",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234361",
            "telephone_number": "775-782-1603",
            "fax_number": "775-782-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "COREY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO3413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.