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

Amy Lee Staubach, PA

Individual provider Physician Assistant · NPI 1760975528

Amy Lee Staubach, PA is a Physician Assistant in Clinton Twp, Michigan. Qualified in 2018, 8 years ago. Practices with Henry Ford Macomb Hospital Corporation, a 339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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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.

Additional practice locations (1)

  • 5300 Elliott Dr, Ypsilanti, MI 48197 — (734) 434-6262

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008700 (MI)

Record details

NPI number1760975528
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 7, 2018
Last updated in NPPESFebruary 5, 2021
Certification dateFebruary 5, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Henry Ford Macomb Hospital Corporation — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clinton Twp