DR. AMANDA RUDERT HOLSWORTH D.O.
NPI 1811336506
Allergy & Immunology in Grand Rapids, MI
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
Specialties & Licenses 2
Other Names 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Amanda Holsworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 2,446 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.
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, MIMedicare 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.
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.
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.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
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.
Which organization bills Medicare for Amanda Holsworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Holsworth reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, 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 Amanda Holsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Holsworth accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian 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.
# Dr. Amanda Rudert Holsworth, D.O. · NPI 1811336506
Allergy & Immunology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 17, 2013.
## Identity
- **NPI:** 1811336506 (Entity type: Individual)
- **Enumerated:** June 17, 2013
- **Primary specialty:** Allergy & Immunology · taxonomy 207K00000X
- **State license:** 5101020432 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3271 CLEAR VISTA CT NE, Grand Rapids, MI 49525
- **Phone:** (616) 267-7125
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spectrum Health Primary Care Partners (NPI 1346480258, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2013
## Record status
- **NPPES last updated:** February 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1811336506) · Data from the CMS NPPES public registry.