Jack Holland, CRNA - Nurse Anesthetist, Certified Registered in Heber City, UT

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Jack Holland, CRNA is a Nurse Anesthetist, Certified Registered based in Heber City, Utah. Jack Holland is licensed to practice in Utah (license number 9809402-4406) and his current practice location is Heber Valley Hospital, 1485 Us-40, Heber City, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 654-2500.

NPI number for Jack Holland is 1699755231 and his current mailing address is 6127 Kingsford Ave, Park City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699755231.

Contact Information

Jack Holland, CRNA
Heber Valley Hospital, 1485 Us-40,
Heber City, UT 84032
(435) 654-2500
Not Available

Map and Direction




Provider's Profile

Full NameJack Holland
GenderMale
SpecialityNurse Anesthetist, Certified Registered
LocationHeber Valley Hospital, Heber City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699755231
  • Provider Enumeration Date: 01/19/2006
  • Last Update Date: 10/26/2021

Medical Identifiers

Medical identifiers for Jack Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699755231NPI-NPPES
8051521MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 161328 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 821399 (Nevada)Secondary
367500000XNurse Anesthetist, Certified Registered 053081 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 9809402-4406 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Holland is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Holland, CRNA
6127 Kingsford Ave,
Park City, UT 84098-6317

Ph: (307) 203-7739		Jack Holland, CRNA
Heber Valley Hospital, 1485 Us-40,
Heber City, UT 84032

Ph: (435) 654-2500

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Heber City, UT

Mr. Justin D Williams, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 650 E 250 S, Heber City, UT 84032
Phone: 435-671-0031    
Michael A Dagley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1485 S Highway 40, Heber City, UT 84032
Phone: 435-654-2500    
Shannon H Hallowell-schemmer, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1485 S Highway 40, Heber City, UT 84032
Phone: 435-654-2500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.