MRS. AMANDA M RODRIGUEZ (PA-C) – Physician Assistant, NPI 1326109208

MRS. AMANDA M RODRIGUEZ (PA-C) is a healthcare provider. based in Chelsea, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601004537 (MI). The NPI Number for MRS. AMANDA M RODRIGUEZ (PA-C) is 1326109208

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA M RODRIGUEZ (PA-C)
NPI
1326109208
Phone
(734) 475-3221
Address
14650 E. OLD US HWY 12
Enumeration Date
13 December 2006
Last Update Date
25 October 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5175393188
Graduation Year
2005 (21 years ago)
PAC ID
3971538604
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20051001000004
Address ID
MI492012160JA300XXAVEX403

Contacts

Secure Messaging
A.Rodriguez@forefrontdermatology.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for MRS. AMANDA M RODRIGUEZ (PA-C)

  • Chelsea Professional Office Building, 14650, East Old US Highway 12, Chelsea, Washtenaw County, Michigan, 48118, United States

    SUITE 308

    CHELSEA, MI 48118

    Phone: (734) 475-3221

    Fax: (734) 475-6411

    Type: Mailing

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 300 W WASHINGTON AVE STE 250

    JACKSON, MI 492012160

    Phone: (517) 539-3188

    Fax: (517) 539-3189

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $585.

Total Amount is formed as General ($585) + Research ($0) + Ownership ($0) = $585.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($241).

Total Amount

$585

General + Research + Ownership

Payments

17

Total payment records

General Amount

$585

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051001000004IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths15539$0
99213Established patient office or other outpatient visit, 20-29 minutes10880$0
99203New patient office or other outpatient visit, 30-44 minutes9393$0
17000Destruction of precancer skin growth, 1 growth8972$0
11102Biopsy of related skin growth, first growth8275$0
View full utilization report →

Insurance plans in this area (ZIP 48118)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Does MRS. AMANDA M RODRIGUEZ (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. AMANDA M RODRIGUEZ (PA-C) uses 1326109208.
Is MRS. AMANDA M RODRIGUEZ (PA-C) listed as active for patients and plans?
The listing shows MRS. AMANDA M RODRIGUEZ (PA-C) as active in the NPI system.
What taxonomy line describes MRS. AMANDA M RODRIGUEZ (PA-C)?
For research purposes, treat MRS. AMANDA M RODRIGUEZ (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. AMANDA M RODRIGUEZ (PA-C) on a map?
Expect Chelsea, Michigan as a primary anchor for MRS. AMANDA M RODRIGUEZ (PA-C) unless the record lists multiple sites.
Is the information about MRS. AMANDA M RODRIGUEZ (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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