Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda M Basil-Porter, PA-C

Individual provider Physician Assistant · NPI 1528441854

Amanda M Basil-Porter, PA-C is a Physician Assistant in Saint Clair Shores, Michigan. Qualified in 2014, 12 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.

Years since qualifying
12
Licensed in
MI, PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

25631 Little Mack Ave Ste 205
Saint Clair Shores, MI 48081-2108
Phone: (586) 443-2380
Fax: (586) 443-2935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009765 (MI)
Physician Assistant Taxonomy 363A00000X · Licence MA057154 (PA)

Record details

NPI number1528441854
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 6, 2015
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Saint Clair Shores