Individual provider Active NPI

Amy B Legghio, NP-C

  • Adult Health Nurse Practitioner
  • Mount Clemens, MI
National Provider Identifier
1285118083
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704210652 Issued in MI
Practice address
1080 Harrington St Ste 202
Mount Clemens, MI 48043-2903
Phone
(586) 493-3440
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704210652 MI Primary

Addresses

Primary practice location

1080 Harrington St Ste 202
Mount Clemens, MI 48043-2903

Mailing address

1080 Harrington St Ste 202
Mount Clemens, MI 48043-2903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128001388 MI Practitioner - Nurse Practitioner 9436493707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704210652MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Ann Karmanos Cancer Institute CurrentSince Sep 15, 2019 Accepting new patients
McLaren Oakland CurrentSince Oct 16, 2018 Accepting new patients
McLaren Oakland CurrentSince Oct 16, 2018 Accepting new patients
University Physician Group CurrentSince Aug 1, 2025 Accepting new patients
Barbara Ann Karmanos Cancer Institute Past Accepting new patients
Barbara Ann Karmanos Cancer Institute Past Accepting new patients

Locations

8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847

5701 Bow Pointe Dr
Ste 280
Clarkston, MI 48346
Phone (248) 922-6830

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

1080 Harrington St
Ste 202
Mount Clemens, MI 48043
Phone (586) 493-3440

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1285118083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 HARRINGTON ST STE 202",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 HARRINGTON ST STE 202",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432903",
            "telephone_number": "586-493-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGHIO",
        "first_name": "AMY",
        "middle_name": "B",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704210652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.