Active NPI
Amanda Jessie Riley, PA-C
- Physician Assistant
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601012759
- Practice address
- Iha Hospital Medicine Services
5301 E Huron River Drive
Ypsilanti, MI 48197 - Phone
- (734) 712-8676
- NPI assigned
- Jan 16, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601012759 | MI | Primary |
| Registered Respiratory Therapist | 227900000X | 4401007165 | MI |
Addresses
Primary practice location
Iha Hospital Medicine Services
5301 E Huron River Drive
Ypsilanti, MI 48197
Mailing address
24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (734) 747-6766
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 583-9125
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4401007165 | MI | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Interoperability endpoints
- ariley4018634@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Internal Medicine Physician
- Ypsilanti, MI
- NPI 1477950541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1437960655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DRIVE",
"address_2": "SUITE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "734-747-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IHA HOSPITAL MEDICINE SERVICES",
"address_2": "5301 E HURON RIVER DRIVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48197",
"telephone_number": "734-712-8676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "AMANDA",
"middle_name": "JESSIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-16",
"last_updated": "2025-03-27",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601012759",
"primary": true
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "MI",
"license": "4401007165",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.