Individual provider Active NPI

Holly D Gingerich, PAC

  • Physician Assistant
  • Iowa City, IA
National Provider Identifier
1831477793
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002457 Issued in IA
Practice address
201 S Clinton St Ste 168
Iowa City, IA 52240-4034
Phone
(319) 384-0520
Fax
(319) 384-0604
NPI assigned
Jul 26, 2011
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085004059 IL
Physician Assistant 363A00000X 002457 IA Primary

Addresses

Primary practice location

201 S Clinton St Ste 168
Iowa City, IA 52240-4034

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-0520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20140407000984 IA Practitioner - Physician Assistant 4789856246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Iowa City, IA 52240-2909
Phone (319) 354-2429

1401 Crees St
West Liberty, IA 52776-1029
Phone (319) 627-2131

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Nov 2, 2022 Accepting new patients
State University of Iowa CurrentSince Nov 2, 2022 Accepting new patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients
State University of Iowa Past Accepting new patients

Locations

411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430

1632 Sycamore St
Iowa City, IA 52240
Phone (319) 467-8350

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

767 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 384-8333

720 Pacha Pkwy
Ste 1
North Liberty, IA 52317
Phone (319) 384-8801

56 Cedar St
Tipton, IA 52772
Phone (319) 886-2195

Interoperability endpoints

  • Direct secure messaging: hgingerich1504@uihcdirect.org
  • Direct secure messaging: hollygingerich@mic.allscriptsdirect.net

Organizations & group practices 5

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 2

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1831477793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-384-0520",
            "fax_number": "319-384-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S CLINTON ST STE 168",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404034",
            "telephone_number": "319-384-0520",
            "fax_number": "319-384-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGERICH",
        "first_name": "HOLLY",
        "middle_name": "D",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004059",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.