Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Nicholas Ray Von Holten, PA-C

Individual provider Surgical Physician Assistant · NPI 1063054278

Nicholas Ray Von Holten, PA-C is a Physician Assistant in Bloomington, Illinois. Qualified in 2019, 7 years ago. Practices with Emergency Coverage LLC, a 771-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1111 Trinity Ln Ste 111
Bloomington, IL 61704-8112
Phone: (309) 663-6461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.007292 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085.007292 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085.007292 (IL)

Record details

NPI number1063054278
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 9, 2019
Last updated in NPPESOctober 9, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Emergency Coverage Llc — 771 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients229
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Memorial Mission Hospital And Asheville Surgery Ce Hospital · Asheville, NC

Colleagues at Emergency Coverage LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 771 clinicians in the practice; 12 are shown here.

Other providers in Bloomington