Active NPI
Amanda Mishler, PA-C
- Physician Assistant
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004572
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004572 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Community Hospital | Physician Assistant | Current | Accepting new patients |
| Holland Community Hospital | Physician Assistant | Current | 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
- 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.
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Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.