Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Marie Roegner

Individual provider Certified Registered Nurse Anesthetist · NPI 1417596396

Amanda Marie Roegner is a Certified Registered Nurse Anesthetist (CRNA) in Clinton Twp, Michigan. Qualified in 2019, 7 years ago. Practices with Rochester Medical Associates PLLC, a 23-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

15855 19 Mile Rd
Clinton Twp, MI 48038-3504
Phone: (586) 263-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704307508 (MI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 129603 (MI)

Record details

NPI number1417596396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 25, 2019
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address7185 Vista Dr, Shelby Township, MI 48316-5862

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Rochester Medical Associates Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clinton Twp