Active NPI
Amanda Marie Roegner
- Certified Registered Nurse Anesthetist
- Clinton TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704307508
- Practice address
- 15855 19 Mile Rd
Clinton TWP, MI 48038-3504 - Phone
- (586) 263-2300
- NPI assigned
- Dec 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 129603 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704307508 | MI | Primary |
Addresses
Primary practice location
15855 19 Mile Rd
Clinton TWP, MI 48038-3504
Mailing address
7185 Vista Dr
Shelby Township, MI 48316-5862
Phone (586) 907-7647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Macomb Hospital Corporation
Practice addresses (Care Compare)
1349 S Rochester Rd
Suite 150
Rochester Hills, MI 48307-3152
Phone (248) 844-3800
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
Hospital & facility affiliations
- Henry Ford Macomb Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129603 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Macomb Anesthesia, PC | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eastern District Anesthesiology PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rochester Medical Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
1349 S Rochester Rd
Ste 150
Rochester Hills, MI 48307
Phone (248) 844-3800
1349 S Rochester Rd
Ste 250
Rochester Hills, MI 48307
Phone (248) 601-0040
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Interoperability endpoints
- adisanto621268@direct.hfhs.org
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Rochester Hills, MI
- NPI 1396398681
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rochester Hills, MI
- NPI 1396397741
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Clinton Township, MI
- NPI 1528130739
Nurse Anesthetist, Certified Registered
-
- Nurse Practitioner
- Chesterfield, MI
- NPI 1952440521
-
- Anesthesiology Physician
- Clinton Township, MI
- NPI 1639248206
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- Neonatal Nurse Practitioner
- Clinton Township, MI
- NPI 1912301094
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1417596396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7185 VISTA DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483165862",
"telephone_number": "586-907-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "586-263-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEGNER",
"first_name": "AMANDA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-25",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "129603",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704307508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.