Emily Catherine Fitzgerald, PA-C
Individual provider Active NPI Physician Assistant · Washington, MI
NPI 1770075400 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1770075400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601008649 (MI)
- Practice address
- 12150 30 Mile Rd Ste 101
Washington, MI 48095-2035 - Phone
- (586) 752-7256
- Fax
- (586) 331-2323
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Wayne State University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Independent Observation Physicians PLLC
Practice addresses (Care Compare)
1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 652-5000
47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4210
Hospital & facility affiliations
- Ascension Providence Rochester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180711001675 | MI | Practitioner - Physician Assistant | 4486900180 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601008649 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Emergency Care, PC | Physician Assistant | Current |
Accepting new patients |
| Orchardview Physicians | Past | Accepting new patients |
Locations
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
Interoperability endpoints
- efitzgerald464346@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008649 | MI | Yes |
Addresses
Primary practice location
12150 30 Mile Rd Ste 101
Washington, MI 48095-2035
Mailing address
12150 30 Mile Rd Ste 101
Washington, MI 48095-2035
Phone (586) 752-7256
Other practice location 1
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (313) 618-9128
Other providers in Washington, MI
- Expert Home Care
- Brandon Michael Feltz
- Allen Fender
- Kelly Michelle Fenn
- Gemma Fioritto I
- Friends & Family Inc.
- Gary E Hosey DPM PC
- James Steven Geister
- Patricia Gergics
- Taryn Lee Gladwish
All providers in Washington, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.