HOLLY A WALSTRA MA, CCC-SLP
NPI 1679462717
Speech-Language Pathologist in Kentwood, MI
About Holly A Walstra Ma, Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY A WALSTRA MA, CCC-SLP (NPI 1679462717) is an individual speech-language pathologist provider in Kentwood, Michigan, licensed in Michigan (7101008114) and active in the NPI registry since July 2025.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly A Walstra Ma, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Walstra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kentwood, MI 49512
- Reassigned Medicare billing, Michigan enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENTWOOD, MI 49512
KENTWOOD, MI 49512
KENTWOOD, MI 49512
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Holly Walstra's NPI number?
The NPI number for Holly Walstra is 1679462717. It was assigned to this individual provider in the NPPES registry on July 2, 2025.
Where is Holly Walstra located?
Holly Walstra practices at 2450 44th St SE Ste 201, Kentwood, MI 49512. The listed phone number is (616) 528-0870.
What is Holly Walstra's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Holly Walstra enrolled in Medicare?
Yes. Holly Walstra is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Walstra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Walstra reassigns Medicare benefits to Duncan Lake Speech Therapy, LLC (Kentwood, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Walstra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Walstra accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Holly Walstra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Holly Walstra was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Holly A Walstra, MA, CCC-SLP · NPI 1679462717
Speech-Language Pathologist provider in Kentwood, Michigan. Individual provider, active in the CMS NPPES registry since July 2, 2025.
## Identity
- **NPI:** 1679462717 (Entity type: Individual)
- **Enumerated:** July 2, 2025
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 7101008114 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 44TH ST SE STE 201, Kentwood, MI 49512-9081
- **Phone:** (616) 528-0870
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Duncan Lake Speech Therapy, LLC (NPI 1376195925, Kentwood, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1679462717) · Data from the CMS NPPES public registry.