MARY K HOLM (MD) – Obstetrics & Gynecology Physician, NPI 1477583664
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
822 OBSTETRICS/GYNECOLOGY in MN
Provider Addresses for MARY K HOLM (MD)
701 Hewitt Blvd
Red Wing, MN 550662848
Phone: (651) 267-5000
Type: Location
The Box, Fargo Village, Lower Stoke, Coventry, West Midlands Combined Authority, West Midlands, England, CV1 5ED, United Kingdom
FARGO, ND 581086001
Phone: (701) 364-3300
Fax: (701) 364-8906
Type: Mailing
32nd Avenue, River Drive, Fargo, Cass County, North Dakota, 58109, United States
FARGO, ND 581036132
Phone: (701) 364-8000
Fax: (701) 364-8078
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($46).
Total Amount
$84
General + Research + Ownership
Payments
3
Total payment records
General Amount
$84
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $46 |
| Astellas Pharma US Inc | $38 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-10-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131018000413 | I | Obstetrics/Gynecology | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55066)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Clinical Social Worker | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Internal Medicine, Pulmonary Disease, Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists) | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Emergency Medicine, Family Practice | MN | |
| Diagnostic Radiology | MN |
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