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AMY WILSON
NPI 1861015281
Social Worker - Clinical in Holland, MI

Active since May 20, 2020PECOS EnrolledAccepts Medicare Assignment
12930 JAMES ST STE 140, HOLLAND, MI 49424(616) 218-2427 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2025, May 20, 2020 (2 updates tracked since 2020).

About Amy Wilson NPPES

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

AMY WILSON (NPI 1861015281) is an individual clinical provider in Holland, Michigan, licensed in Michigan (6801106876) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Holland, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861015281
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMY WILSON
Location Address12930 JAMES ST STE 140Holland, MI 49424-8324
Mailing Address11072 Riley StZeeland, MI 49464-6857 · (616) 218-2427
Phone(616) 218-2427
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 20, 2020
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1861015281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801106876
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12930 JAMES ST STE 140, Holland, MI 49424
Open in Google Maps ↗

Secondary Practice Location 1

Location 111335 James StHolland, MI 49424-8627 · Phone (616) 396-0623

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Amy Wilson 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 ID3779924295
PECOS Enrollment IDI20240906001734
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 Reassignment

Medicare enrollment records show Amy Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rise To Renew PLLC
Same address
Clinical
12930 JAMES ST STE 140
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
NPI 1891661948 (616) 504-6166

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49424 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
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

BRIANNE ILYSE ROUX LPC
Counselor (Professional)
12930 JAMES ST STE 140
HOLLAND, MI 49424
Ottawa County (616) 422-7775
JOSHUA CAMPBELL
Psychologist
12930 JAMES ST STE 140
HOLLAND, MI 49424
Ottawa County (616) 322-1954
WILDFLOWER FIELD COUNSELING LLC
Social Worker (Clinical)
12930 JAMES ST STE 140
HOLLAND, MI 49424
Ottawa County (616) 681-5796
THROUGH WATER COUNSELING LLC
Counselor (Professional)
12930 JAMES ST STE 140
HOLLAND, MI 49424
Ottawa County (616) 610-1697
EMILY ANN ROSENDAHL
Social Worker (Clinical)
12930 JAMES ST STE 140
HOLLAND, MI 49424
Ottawa County (616) 681-5795
RISE TO RENEW PLLC
Social Worker (Clinical)
12930 JAMES ST STE 140
HOLLAND, MI 49424
Ottawa County (616) 504-6166
RYAN KUJA
Counselor (Mental Health)
12930 JAMES ST STE 140
HOLLAND, MI 49424
Ottawa County (360) 580-3501

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 Amy Wilson's NPI number?

The NPI number for Amy Wilson is 1861015281. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Amy Wilson located?

Amy Wilson practices at 12930 James St Ste 140, Holland, MI 49424. The listed phone number is (616) 218-2427.

What is Amy Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amy Wilson enrolled in Medicare?

Yes. Amy Wilson 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 Amy Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wilson reassigns Medicare benefits to Rise To Renew PLLC (Holland, 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 Amy Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Wilson accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Amy Wilson 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 Amy Wilson was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.