Active NPI
John E Holder, PA-C
- Medical Physician Assistant
- Hotchkiss, CO
National Provider Identifier
1912965112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0000890
- Practice address
- 230 Hotchkiss Ave
Hotchkiss, CO 81419-7608 - Phone
- (970) 872-1400
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.0000890 | CO | Primary |
Addresses
Primary practice location
230 Hotchkiss Ave
Hotchkiss, CO 81419-7608
Mailing address
PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-2470
Other practice location 1
130 E Virginia Ave
Gunnison, CO 81230-2246
Phone (970) 641-0211
Other practice location 2
296 Stafford Ln
Delta, CO 81416-2273
Phone (970) 874-5777
Other practice location 3
255 S Grand Mesa Dr
Cedaredge, CO 81413-3822
Phone (970) 856-4111
Other practice location 4
1450 Burgess St
Delta, CO 81416-2849
Phone (970) 874-7668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58878033 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
230 E Hotchkiss Ave
West Elk Hotchkiss
Hotchkiss, CO 81419-9503
Phone (970) 872-1400
Hospital & facility affiliations
- Delta County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 890 | CO | MD | Clinical Psychologist |
| PA.0000890 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunnison Valley Hospital | Past | Accepting new patients | |
| Delta County Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- john.holder.1@12539.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Delta, CO
- NPI 1417935446
-
- Primary Care Clinic/Center
- Gunnison, CO
- NPI 1578997284
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Delta, CO
- NPI 1417935446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1912965112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10100",
"city": "DELTA",
"state": "CO",
"postal_code": "814160008",
"telephone_number": "970-874-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HOTCHKISS AVE",
"city": "HOTCHKISS",
"state": "CO",
"postal_code": "814197608",
"telephone_number": "970-872-1400"
}
],
"practiceLocations": [
{
"address_1": "130 E Virginia Ave",
"address_purpose": "LOCATION",
"city": "Gunnison",
"state": "CO",
"postal_code": "812302246",
"country_code": "US",
"telephone_number": "970-641-0211",
"fax_number": "970-641-1268",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "296 Stafford Ln",
"address_purpose": "LOCATION",
"city": "Delta",
"state": "CO",
"postal_code": "814162273",
"country_code": "US",
"telephone_number": "970-874-5777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 S Grand Mesa Dr",
"address_purpose": "LOCATION",
"city": "Cedaredge",
"state": "CO",
"postal_code": "814133822",
"country_code": "US",
"telephone_number": "970-856-4111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1450 Burgess St",
"address_purpose": "LOCATION",
"city": "Delta",
"state": "CO",
"postal_code": "814162849",
"country_code": "US",
"telephone_number": "970-874-7668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLDER",
"first_name": "JOHN",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0000890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58878033",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hotchkiss, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.