Individual provider Active NPI

Amanda Mishler, PA-C

  • Physician Assistant
  • Holland, MI
National Provider Identifier
1467499111
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004572 Issued in MI
Practice address
2556 Van Ommen Dr
Holland, MI 49424-8208
Phone
(616) 399-5500
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004572 MI Primary

Addresses

Primary practice location

2556 Van Ommen Dr
Holland, MI 49424-8208

Mailing address

4100 Lake Dr SE
S-300
Grand Rapids, MI 49546-8292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000156 MI Practitioner - Physician Assistant 4385651108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

577 Michigan Ave
Holland, MI 49423-4911

8300 Westpark Way
Zeeland, MI 49464-7901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601004572MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Community Hospital Physician Assistant CurrentSince Mar 1, 2016 Accepting new patients
Holland Community Hospital Physician Assistant CurrentSince Mar 1, 2016 Accepting new patients
Holland Community Hospital Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
MMPC Weight Management Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients

Locations

415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208

3235 N Wellness Dr
Holland, MI 49424
Phone (616) 399-9522

175 S Waverly Rd
Holland, MI 49423
Phone (616) 355-3896

577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190

8300 Westpark Way
Zeeland, MI 49464
Phone (616) 748-5760

Interoperability endpoints

  • Direct secure messaging: amanda.mishler@holland.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467499111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LAKE DR SE",
            "address_2": "S-300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 VAN OMMEN DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248208",
            "telephone_number": "616-399-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHLER",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.