Individual provider Active NPI

Amanda J Holmquist, MD

  • Obstetrics & Gynecology Physician
  • Gilbert, AZ
National Provider Identifier
1114260759
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
54543 Issued in AZ
Practice address
4915 E Baseline Rd Ste 126
Gilbert, AZ 85234-2969
Phone
(480) 969-3096
Fax
(480) 969-0963
NPI assigned
Apr 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35887 NE
Obstetrics & Gynecology Physician 207V00000X 54543 AZ Primary

Addresses

Primary practice location

4915 E Baseline Rd Ste 126
Gilbert, AZ 85234-2969

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

7205 W Center Rd Ste 200
Omaha, NE 68124-2388
Phone (402) 397-6600

Other names 1

  • Amanda J Ruppert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170922000772 AZ Practitioner - Obstetrics/Gynecology 9436423969 Reassigns benefits to 1 organization
I20240701003245 NE Practitioner - Obstetrics/Gynecology 9436423969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Nebraska College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Care Arizona, LLCGroup PAC ID 6103215322, 36 clinicians

Practice addresses (Care Compare)

4915 E Baseline Rd
Suite 126
Gilbert, AZ 85234-2969
Phone (480) 969-3096

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-City OB-GYN, P.C. Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Women'S Care Arizona, LLC CurrentSince Mar 26, 2025 Accepting new patients
Banner Gateway Medical Center Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 301
Avondale, AZ 85392
Phone (623) 433-0106

4915 E Baseline Rd
Ste 126
Gilbert, AZ 85234
Phone (480) 745-3690

7205 W Center Rd
Ste 200
Omaha, NE 68124
Phone (402) 397-6600

Interoperability endpoints

  • Direct secure messaging: amanda.holmquist@midcityobgyn.directbygreenway.com
  • Direct secure messaging: amanda.holmquist@direct.stjohnhealthsystem.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1114260759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342969",
            "telephone_number": "480-969-3096",
            "fax_number": "480-969-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7205 W Center Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681242388",
            "country_code": "US",
            "telephone_number": "402-397-6600",
            "fax_number": "402-397-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMQUIST",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "35887",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "54543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RUPPERT",
            "middle_name": "J",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.