MRS. AMANDA PUTRUS KEJBOU PA-C
NPI 1790278778
Physician Assistant in Allen Park, MI

Q: What is Amanda Kejbou's NPI number?

The NPI number for Amanda Kejbou is 1790278778. It was assigned to this individual provider in the NPPES registry on June 13, 2018. The provider is also known as Amanda Putrus Pa-C.

Q: What is Amanda Kejbou'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 Kejbou was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment

15606 SOUTHFIELD RD, ALLEN PARK, MI 48101(313) 771-5274(313) 771-5256 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2025, Feb 1, 2020, Jun 13, 2018 (3 updates tracked since 2018).

On this page

About Mrs. Amanda Putrus Kejbou Pa-c NPPES

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

MRS. AMANDA PUTRUS KEJBOU PA-C (NPI 1790278778) is an individual physician assistant in Allen Park, Michigan, licensed in Michigan (5601008688) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790278778

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. AMANDA PUTRUS KEJBOUCredential: PA-C

Location Address15606 SOUTHFIELD RDAllen Park, MI 48101-2513

Mailing Address37000 Grand River Ave Ste 310Farmington Hills, MI 48335-2868 · (248) 536-2127

Phone(313) 771-5274

Fax(313) 771-5256

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2018

Enumeration DateJune 13, 2018

Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2025

✔ NPI 1790278778 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 · 5601008688

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.

15606 SOUTHFIELD RD, Allen Park, MI 48101

Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Putrus Pa-c

Secondary Practice Locations 3

Location 17125 Orchard Lake Rd Ste 100West Bloomfield, MI 48322-3616 · Phone (248) 865-7444

Location 229169 Southfield RdSouthfield, MI 48076-1900 · Phone (248) 569-0820

Location 327204 Beck RdNovi, MI 48374-1348 · Phone (248) 513-3719

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.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

Mrs. Amanda Putrus Kejbou Pa-c 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 ID2466708706

PECOS Enrollment IDI20180628003364

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.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48101 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 5

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

DIONE MICHEL JOHNSON NP-C

Nurse Practitioner (Adult Health)