MR. ANDRE VINCENT HOLLINGSWORTH M.D.
NPI 1801184247
Internal Medicine in Byron Center, MI

Q: What is Andre Hollingsworth's NPI number?

The NPI number for Andre Hollingsworth is 1801184247. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Q: What is Andre Hollingsworth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 19, 2011PECOS EnrolledAccepts Medicare Assignment

2373 64TH ST SW, BYRON CENTER, MI 49315(616) 685-1350(616) 261-7191 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. Andre Vincent Hollingsworth M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDRE VINCENT HOLLINGSWORTH M.D. (NPI 1801184247) is an individual internal medicine provider in Byron Center, Michigan, licensed in Michigan (4301099153) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2011).

NPPES Registry Identity

NPI1801184247

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. ANDRE VINCENT HOLLINGSWORTHCredential: M.D.

Location Address2373 64TH ST SWByron Center, MI 49315-7974

Mailing Address1900 44th St SeKentwood, MI 49508-5008

Phone(616) 685-1350

Fax(616) 261-7191

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2011

Enumeration DateJuly 19, 2011

Last NPPES UpdateJuly 20, 2015

✔ NPI 1801184247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301099153

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 4301099153 (MI)

2373 64TH ST SW, Byron Center, MI 49315

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Andre Vincent Hollingsworth M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921235961

PECOS Enrollment IDI20150615001915

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Andre Hollingsworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advantage Health Saint Mary's Medical Group

Same address

Orthopaedic Surgery

2373 64TH ST SW STE 2700
Byron Center, MI 49315

Reassigned Medicare billing, Michigan enrollment
737 clinicians in this Medicare group

NPI 1003515008 (616) 465-5910

Baxter Community Center

8.0 mi

Public Health or Welfare

935 BAXTER SE
Grand Rapids, MI 49506

Reassigned Medicare billing, Michigan enrollment
10 clinicians in this Medicare group

NPI 1164625109 (616) 456-8593

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

80 services58 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services29 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

21 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

16 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230059

Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230236

Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers12 claims12 services$26.25 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers12 claims12 services$10.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS B FOSTER MD

Internal Medicine (Adolescent Medicine)

2373 64TH ST SW, STE 1300
GRAND RAPIDS, MI 49315

Kent County (616) 685-1350

SARA VANDERZWAAG NP

Nurse Practitioner (Family)

2373 64TH ST SW, STE 1300
BYRON CENTER, MI 49315

Kent County (616) 685-1350

MR. BRIAN JAMES MULDER RPH

Pharmacist

2373 64TH ST SW, SUITE 1100
BYRON CENTER, MI 49315

Kent County (616) 643-3950

SIXTY FOURTH STREET LLC

Clinic/Center (Ambulatory Surgical)

2373 64TH ST SW, SUITE 2200
BYRON CENTER, MI 49315

Kent County (616) 685-3975

KIMBERLY LANNING

Nurse Practitioner (Family)

2373 64TH ST SW, STE 1300
BYRON CENTER, MI 49315

Kent County (616) 685-1350

FAMILY PHARMACY-SW CAMPUS

Pharmacy (Community/Retail Pharmacy)

2373 64TH ST SW, STE 1100
BYRON CENTER, MI 49315

Kent County (616) 685-3950

THERESA K STARR CNM

Advanced Practice Midwife

2373 64TH ST SW, STE 1300
BYRON CENTER, MI 49315

Kent County (616) 685-1350

EMILY ANNE RUSTICUS NP

Nurse Practitioner (Family)

2373 64TH ST SW, SUITE 1300
BYRON CENTER, MI 49315

Kent County (616) 685-1350

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 Andre Hollingsworth's NPI number?

The NPI number for Andre Hollingsworth is 1801184247. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Andre Hollingsworth located?

Andre Hollingsworth practices at 2373 64th St SW, Byron Center, MI 49315. The listed phone number is (616) 685-1350.

What is Andre Hollingsworth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andre Hollingsworth enrolled in Medicare?

Yes. Andre Hollingsworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andre Hollingsworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Hollingsworth reassigns Medicare benefits to 2 organizations: Advantage Health Saint Mary's Medical Group (Byron Center, MI) and Baxter Community Center (Grand Rapids, MI). Each 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 Andre Hollingsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre Hollingsworth accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Andre Hollingsworth 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.

Is Andre Hollingsworth affiliated with any hospitals?

According to CMS data, Andre Hollingsworth is affiliated with Mercy Health Saint Mary's and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Andre Hollingsworth was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.