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AMANDA CHAGOLLA PMHNP
NPI 1184237885
Nurse Practitioner - Psychiatric/Mental Health in Taylor, MI

Active since August 24, 2020PECOS EnrolledAccepts Medicare Assignment
21415 GODDARD RD, TAYLOR, MI 48180(734) 375-6900(734) 398-3737 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2020, Aug 24, 2020 (2 updates tracked since 2020).

About Amanda Chagolla Pmhnp NPPES

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

AMANDA CHAGOLLA PMHNP (NPI 1184237885) is an individual psychiatric/mental health provider in Taylor, Michigan, licensed in Michigan (4704316495) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184237885
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA CHAGOLLACredential: PMHNP
Location Address21415 GODDARD RDTaylor, MI 48180-4247
Mailing Address21415 Goddard RdTaylor, MI 48180-4247 · (734) 375-6900 · Fax (734) 398-3737
Phone(734) 375-6900
Fax(734) 398-3737
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 24, 2020
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1184237885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MI · 4704316495✔ Licensed in OH · APRN.CNP.0027419
21415 GODDARD RD, Taylor, MI 48180
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Chagolla Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537589023
PECOS Enrollment IDI20251104002697
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 48180 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MODERN PSYCH AND WELLNESS PLLC
Psychologist
21415 GODDARD RD
TAYLOR, MI 48180
Wayne County (313) 737-0023
DANIELLE ELIZABETH GHAMLOUCHE CPRM,CADC
Peer Specialist
21415 GODDARD RD
TAYLOR, MI 48180
Wayne County (734) 375-6900
BACK ON TRACK MEDICAL EQUIPMENT LLC
Prosthetic/Orthotic Supplier
21415 GODDARD RD
TAYLOR, MI 48180
Wayne County (313) 888-7891

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Chagolla's NPI number?

The NPI number for Amanda Chagolla is 1184237885. It was assigned to this individual provider in the NPPES registry on August 24, 2020.

Where is Amanda Chagolla located?

Amanda Chagolla practices at 21415 Goddard Rd, Taylor, MI 48180. The listed phone number is (734) 375-6900.

What is Amanda Chagolla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Chagolla enrolled in Medicare?

Yes. Amanda Chagolla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Chagolla accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community, MedMutual and Oscar Health Insurance and 3 other insurers list Amanda Chagolla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Chagolla was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.