Amanda Primozich, PA-C
Physician Assistant, Medical in Rochester Hills, MI. Individual provider (NPI-1).
NPI number1902200405
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1902200405
- Entity type
- Individual (NPI-1)
- Name
- Amanda Primozich
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2014
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 5601007187 | MI | Yes |
Practice location
633 South Blvd E Ste 1200Rochester Hills, MI 48307-5364
Phone 248-844-6000
Mailing address
633 South Blvd E Ste 1200Rochester Hills, MI 48307-5364
Phone 248-844-6000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Medical Physician Assistant providers in Rochester Hills · All 2,526 providers in Rochester Hills
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