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AMANDA RAE CONNOLLY DO
NPI 1467089383
Emergency Medicine in Clinton Township, MI

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 263-2300 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2023, Mar 23, 2021, Mar 23, 2020 (3 updates tracked since 2020).

About Amanda Rae Connolly Do NPPES

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

AMANDA RAE CONNOLLY DO (NPI 1467089383) is an individual emergency medicine provider in Clinton Township, Michigan, licensed in Michigan (5151014353) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of West Virginia School Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1467089383
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameAMANDA RAE CONNOLLYCredential: DO
Location Address15855 19 MILE RDClinton Township, MI 48038-3504
Mailing Address15855 19 Mile RdClinton Township, MI 48038-3504 · (586) 263-2300
Phone(586) 263-2300
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateNovember 14, 20233 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1467089383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5151014353
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
15855 19 MILE RD, Clinton Township, MI 48038
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Rae Connolly Do 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 ID7012339849
PECOS Enrollment IDI20230614001954
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Amanda Connolly reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Independent Emergency Physicians, P.C.
17 mi
Emergency Medical Services
16001 W 9 MILE RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Independent Emergency Physicians PC
  • 273 clinicians in this Medicare group
NPI 1780791343 (248) 849-3015
Independent Observation Physicians PLLC
17 mi
Emergency Medical Services
16001 W 9 MILE RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 239 clinicians in this Medicare group
NPI 1700119500 (248) 849-3000
Professional Emergency Care, PC
27 mi
Emergency Medicine
15855 19 MILE RD
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 46 clinicians in this Medicare group
NPI 1326235698 (586) 263-2601
Mclaren Hospital Group
48 mi
Emergency Medicine
401 S BALLENGER HWY
Flint, MI 48532
  • Reassigned Medicare billing, Michigan enrollment
  • 444 clinicians in this Medicare group
NPI 1942026174 (810) 342-3450
Degara App, PLLC
81 mi
Emergency Medicine
401 W GREENLAWN AVE
Lansing, MI 48910
  • Reassigned Medicare billing, Michigan enrollment
  • 295 clinicians in this Medicare group
NPI 1265976971 (517) 975-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
333 services323 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
67 services64 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
41 services39 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services32 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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 20

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

MS. LEEANN WICKENS P.A.
Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 203-1940
CYNTHIA GEE D.O.
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (701) 340-2053
SARAH E NELSON
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (313) 623-7602
MS. KARA NICOLE SZCZOMAK PA-C
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2601
EMILY SOPEL
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2300
ANTONIO MACERI MD
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2300
HENRY FORD MACOMB HOSPITAL CORPORATION
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (568) 263-2705
JEFFREY A BERG CRNA
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2370

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 Connolly's NPI number?

The NPI number for Amanda Connolly is 1467089383. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Amanda Connolly located?

Amanda Connolly practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-2300.

What is Amanda Connolly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Amanda Connolly enrolled in Medicare?

Yes. Amanda Connolly 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.

Which organizations bill Medicare for Amanda Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Connolly reassigns Medicare benefits to 5 organizations: Independent Emergency Physicians, P.C. (Southfield, MI), Independent Observation Physicians PLLC (Southfield, MI), Professional Emergency Care, PC (Clinton Township, MI), Mclaren Hospital Group (Flint, MI) and Degara App, PLLC (Lansing, MI). Each 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 Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Connolly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Amanda Connolly 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.

Is Amanda Connolly affiliated with any hospitals?

According to CMS data, Amanda Connolly is affiliated with Ascension Providence Hospital, Southfield And Novi, Henry Ford Macomb Hospital, Ascension St John Hospital and Mclaren Greater Lansing.

When was this NPI record last updated?

The NPPES record for Amanda Connolly was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.