Active NPI
Amanda J Holmquist, MD
- Obstetrics & Gynecology Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 54543
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
4915 E Baseline Rd
Suite 126
Gilbert, AZ 85234-2969
Phone (480) 969-3096
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-City OB-GYN, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Women'S Care Arizona, LLC | Current | 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
- amanda.holmquist@midcityobgyn.directbygreenway.com
- 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.
-
- Obstetrics Physician
- Phoenix, AZ
- NPI 1942977624
-
- Obstetrics & Gynecology Physician
- Omaha, NE
- NPI 1861578817
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.