Individual provider Active NPI

Holden McCall

  • Certified Registered Nurse Anesthetist
  • Williston, ND
National Provider Identifier
1891362901
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R51177 Issued in ND
Practice address
1301 15TH Ave W
Williston, ND 58801-3821
Phone
(701) 774-7400
NPI assigned
Jun 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X R51177 ND Primary

Addresses

Primary practice location

1301 15TH Ave W
Williston, ND 58801-3821

Mailing address

3413 Long Branch Ave
Williston, ND 58801-2980
Phone (801) 888-0802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211201002167 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870983034 Reassigns benefits to 5 organizations
I20221209001303 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870983034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Medical Foundation of TillamookGroup PAC ID 5092619569, 80 clinicians
Mercy Medical CenterGroup PAC ID 7416851381, 78 clinicians
St. Joseph'S Hospital and Health CenterGroup PAC ID 0547177560, 157 clinicians

Practice addresses (Care Compare)

1000 3Rd St
Tillamook, OR 97141-3430
Phone (503) 815-2260

1301 15TH Ave W
Williston, ND 58801-3821
Phone (701) 774-7400

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

Hospital & facility affiliations

  • CHI St Alexius Health Williston Hospital, Williston, ND, CCN 351334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R51177NDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center Single Specialty Current Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Oct 3, 2022 Accepting new patients
Mercy Medical Center Single Specialty CurrentSince Oct 15, 2021 Accepting new patients
St Josephs Hospital and Health Center Single Specialty CurrentSince Jan 21, 2025 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Oct 3, 2022 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Jan 21, 2025 Accepting new patients
St Joseph'S Hospital and Health Center Single Specialty Current Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Mercy Home Care CurrentSince Oct 15, 2021 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Northwest Medical Foundation of Tillamook Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Mercy Medical Center CurrentSince Jan 1, 2026 Accepting new patients

Locations

3369 Solutions Ctr
Chicago, IL 60677

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

Organizations & group practices 18

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 18

Hospital & facility affiliations 1

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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1891362901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 LONG BRANCH AVE",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588012980",
            "telephone_number": "801-888-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 15TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013821",
            "telephone_number": "701-774-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "HOLDEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R51177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.