Active NPI
Holden McCall
- Certified Registered Nurse Anesthetist
- Williston, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R51177
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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, OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 TillamookMercy Medical CenterSt. Joseph'S Hospital and Health Center
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R51177 | ND | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Single Specialty | Current | Accepting new patients |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Mercy Medical Center | Single Specialty | Current | Accepting new patients |
| St Josephs Hospital and Health Center | Single Specialty | Current | Accepting new patients |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | 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 | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Single Specialty | Current | Accepting new patients |
| Mercy Medical Center | Current | 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.
-
- Clinic/Center
- Dickinson, ND
- NPI 1730464108
ND, Single Specialty
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
OR, Single Specialty
-
- Rural Health Clinic/Center
- Beach, ND
- NPI 1669491262
-
- Rural Health Clinic/Center
- Tillamook, OR
- NPI 1326349416
-
- Rural Health Clinic/Center
- Manzanita, OR
- NPI 1154699379
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1184607020
-
- Rural Health Clinic/Center
- Vernonia, OR
- NPI 1285164921
-
- Rural Health Clinic/Center
- Pacific City, OR
- NPI 1427399294
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.