1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Allergy Immunology
  6. NPI Profile

DR. AMANDA RUDERT HOLSWORTH D.O.
NPI 1811336506
Allergy & Immunology in Grand Rapids, MI

Active since June 17, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3271 CLEAR VISTA CT NE, GRAND RAPIDS, MI 49525(616) 267-7125 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2021, Aug 20, 2018, Jun 27, 2018 (3 updates tracked since 2018).

About Dr. Amanda Rudert Holsworth D.o. NPPES

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

DR. AMANDA RUDERT HOLSWORTH D.O. (NPI 1811336506) is an individual allergy & immunology provider in Grand Rapids, Michigan, licensed in Michigan (5101020432) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1811336506
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameDR. AMANDA RUDERT HOLSWORTHCredential: D.O.
Location Address3271 CLEAR VISTA CT NEGrand Rapids, MI 49525
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-7125
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateJune 17, 2013
Last NPPES UpdateFebruary 17, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1811336506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in MI · 5101020432
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatricsTaxonomy 208000000X · License 5101020432 (MI)
3271 CLEAR VISTA CT NE, Grand Rapids, MI 49525
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Claire Rudert Do

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amanda Rudert Holsworth D.o. 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 ID1557590023
PECOS Enrollment IDI20180726002096
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.

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier13 claims52 services$16.94 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims4,160 services$9.46 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
1 supplier13 claims52 services$2.37 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.

DR. JOHN E. HESLIP M.D.
Internal Medicine
3271 CLEAR VISTA CT NE, SUMMIT PARK CENTER-INTERNAL MED & PEDS
GRAND RAPIDS, MI 49525
Kent County (616) 391-7800
DR. COURTNEY COTTER DO
Allergy & Immunology
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-7125
PETER ZIGFRID ZADVINSKIS M.D.
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-7293
SAJA MOHAMMAD A ALMAAITAH MD
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-7293
DR. BRADLEY MARK BOELKINS M.D.
Allergy & Immunology
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-7125
DR. J HOWARD UHL MD
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-7293
MARISA ALICE HODGES MD
Allergy & Immunology
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-7125
BARAKAT ABDELGHANI THABET MD
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-7293

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 Amanda Holsworth's NPI number?

The NPI number for Amanda Holsworth is 1811336506. It was assigned to this individual provider in the NPPES registry on June 17, 2013. The provider is also known as Amanda Claire Rudert Do.

Where is Amanda Holsworth located?

Amanda Holsworth practices at 3271 Clear Vista Ct NE, Grand Rapids, MI 49525. The listed phone number is (616) 267-7125.

What is Amanda Holsworth's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Amanda Holsworth enrolled in Medicare?

Yes. Amanda Holsworth 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.

What insurance does Amanda Holsworth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Amanda Holsworth 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 Amanda Holsworth affiliated with any hospitals?

According to CMS data, Amanda Holsworth is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Amanda Holsworth was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.