MRS. AMANDA S KATY PAC
NPI 1134431158
Physician Assistant in Detroit, MI

Q: What is Amanda Katy's NPI number?

The NPI number for Amanda Katy is 1134431158. It was assigned to this individual provider in the NPPES registry on July 7, 2010.

Q: What is Amanda Katy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Katy was last updated on May 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 07, 2010PECOS Enrolled

4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201(313) 745-3330(313) 745-3653 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Amanda S Katy Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMANDA S KATY PAC (NPI 1134431158) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601005738) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134431158

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. AMANDA S KATYCredential: PAC

Location Address4201 SAINT ANTOINE ST, SUITE 3RDetroit, MI 48201-2153

Mailing Address4201 Saint Antoine St, Suite 3rDetroit, MI 48201-2153 · (313) 745-3330 · Fax (313) 745-3653

Phone(313) 745-3330

Fax(313) 745-3653

Sole ProprietorNo

Enumeration DateJuly 7, 2010

Last NPPES UpdateMay 7, 2024

✔ NPI 1134431158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MI · 5601005738✔ Licensed in PA · MA055272

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4201 SAINT ANTOINE ST, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amanda S Katy Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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