AMY LEE STAUBACH PA
NPI 1760975528
Physician Assistant in Clinton Twp, MI

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment
15855 19 MILE RD, CLINTON TWP, MI 48038(586) 263-2300 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2021, Jun 27, 2018 (2 updates tracked since 2018).

About Amy Lee Staubach Pa NPPES

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

AMY LEE STAUBACH PA (NPI 1760975528) is an individual physician assistant in Clinton Twp, Michigan, licensed in Michigan (5601008700) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and maintains a secondary practice location in Ypsilanti.

NPPES Registry Identity

NPI1760975528
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY LEE STAUBACHCredential: PA
Location Address15855 19 MILE RDClinton Twp, MI 48038-3504
Mailing Address15855 19 Mile RdClinton Twp, MI 48038-3504
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 7, 2018
Last NPPES UpdateFebruary 5, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
NPI 1760975528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601008700
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.
15855 19 MILE RD, Clinton Twp, MI 48038

Secondary Practice Location 1

Location 15300 Elliott DrYpsilanti, MI 48197 · Phone (734) 434-6262

Accepted 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

Amy Lee Staubach Pa 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 ID7012264971
PECOS Enrollment IDI20180724000340
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.

Areas of Expertise CMS Part B claims 2

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.

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.
88 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services17 patients

Hospital Affiliations CMS Care Compare

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

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

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
$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.

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.

Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038

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 Amy Staubach's NPI number?

The NPI number for Amy Staubach is 1760975528. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Amy Staubach located?

Amy Staubach practices at 15855 19 Mile Rd, Clinton Twp, MI 48038. The listed phone number is (586) 263-2300.

What is Amy Staubach's specialty?

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

Is Amy Staubach enrolled in Medicare?

Yes. Amy Staubach 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 Amy Staubach accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Amy Staubach 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 Amy Staubach affiliated with any hospitals?

According to CMS data, Amy Staubach is affiliated with Henry Ford Macomb Hospital.

When was this NPI record last updated?

The NPPES record for Amy Staubach was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.