Mallory Rose Holzer, PA
NPI 1265399653ActiveIndividual· Physician Assistant· Chesterfield, MO
Physician Assistant (PA) in Chesterfield, Missouri, trained at Saint Louis University School of Medicine (class of 2025). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1265399653 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 7, 2026 |
| Last updated in NPPES | Mar 17, 2026 |
| Certified by provider | Jan 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2026005852 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MO) |
|---|
Education and affiliations
| Medical school | Saint Louis University School of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Physician Assistant |
Medical group
- Washington UniversitySaint Louis, MO · 3,029 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 44 physician assistants in Chesterfield · All physician assistants in Missouri