Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Mudd, PA-C

Individual provider Physician Assistant · NPI 1043997661

Samantha Mudd, PA-C is a Physician Assistant in Holland, Michigan. Qualified in 2023, 3 years ago. Practices with Holland Community Hospital, a 175-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

577 Michigan Ave
Holland, MI 49423-4911
Phone: (616) 392-5141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1043997661
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address577 Michigan Ave, Holland, MI 49423-4911

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Holland Community Hospital — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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