MRS. AMANDA MARIE GOUGH NP-C
NPI 1316419609
Nurse Practitioner - Family in Sterling Heights, MI
About Mrs. Amanda Marie Gough Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMANDA MARIE GOUGH NP-C (NPI 1316419609) is an individual family provider in Sterling Heights, Michigan, licensed in Michigan (4704311131) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Amanda Marie Gough Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Gough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sterling Heights, MI 48314
- Reassigned Medicare billing, Michigan enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STERLING HEIGHTS, MI 48314
STERLING HEIGHTS, MI 48314
STERLING HEIGHTS, MI 48314
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 Gough's NPI number?
The NPI number for Amanda Gough is 1316419609. It was assigned to this individual provider in the NPPES registry on December 26, 2018.
Where is Amanda Gough located?
Amanda Gough practices at 43184 Dequindre Rd, Sterling Heights, MI 48314. The listed phone number is (586) 580-0280.
What is Amanda Gough's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Gough enrolled in Medicare?
Yes. Amanda Gough is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Gough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Gough reassigns Medicare benefits to Forum Medical Clinic, PC (Sterling Heights, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Gough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Gough accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Priority Health and 1 other insurer list Amanda Gough 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 Gough was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Mrs. Amanda Marie Gough, NP-C · NPI 1316419609
Family physician in Sterling Heights, Michigan. Individual provider, active in the CMS NPPES registry since December 26, 2018.
## Identity
- **NPI:** 1316419609 (Entity type: Individual)
- **Enumerated:** December 26, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704311131 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 43184 DEQUINDRE RD, Sterling Heights, MI 48314-1709
- **Phone:** (586) 580-0280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Forum Medical Clinic, PC (NPI 1992734578, Sterling Heights, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1316419609) · Data from the CMS NPPES public registry.