MRS. TIA L JANICKI (PA-C) – Physician Assistant, NPI 1972636843

MRS. TIA L JANICKI (PA-C) is a healthcare provider. based in Foley, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9118346 (FL). The NPI Number for MRS. TIA L JANICKI (PA-C) is 1972636843

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TIA L JANICKI (PA-C)
NPI
1972636843
Phone
(251) 928-4944
Address
1300 N McKenzie St
Enumeration Date
13 March 2007
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507353376
Graduation Year
2004 (22 years ago)
PAC ID
7810941473
Group Practice PAC ID
8325470727
Professional Enrollment ID
I20240221003240
Address ID
FL325614571GU30XXXCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

Provider Addresses for MRS. TIA L JANICKI (PA-C)

  • 1300 N McKenzie St

    Foley, AL 365352232

    Phone: (251) 928-4944

    Fax: (251) 928-2086

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-7190

    Fax: (920) 684-1439

    Type: Mailing

  • 2790 MOSSIDE BLVD STE 720

    MONROEVILLE, PA 151462757

    Phone: (412) 372-2770

    Fax: (412) 372-4656

    Type: Location

  • 70 MIDTOWN PARK E

    MOBILE, AL 366064140

    Phone: (251) 289-1786

    Fax: (920) 684-1439

    Type: Mailing

  • 30 DANIEL CIR

    GULF BREEZE, FL 325614571

    Phone: (850) 735-3376

    Fax: (559) 201-1269

    Type: Mailing

  • 7550 ASSUNTA CT

    FAIRHOPE, AL 365323069

    Phone: (251) 928-4944

    Fax: (251) 928-2086

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 189 Open Payments records for all available years, with a total value of $3,876.

Total Amount is formed as General ($3,876) + Research ($0) + Ownership ($0) = $3,876.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($588).

Total Amount

$3,876

General + Research + Ownership

Payments

189

Total payment records

General Amount

$3,876

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210610001160IPhysician AssistantALTBD
I20240221003240IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg10,80042$0
17003Destruction of precancer skin growth, 2-14 growths841157$0
99213Established patient office or other outpatient visit, 20-29 minutes573386$0
11102Biopsy of related skin growth, first growth278242$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg26341$0
View full utilization report →

Insurance plans in this area (ZIP 36535)

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Provider's Procedures

MRS. TIA L JANICKI (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTPA11101Biopsy of each additional growth of skin and/or tissue3722
PHYSICIAN ASSISTANTPA17003Destruction of 2-14 skin growths9814

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325470727View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), DermatologyNV
D E R M A T O L O G YFL
Physician AssistantFL
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is there an official ID for MRS. TIA L JANICKI (PA-C) in U.S. healthcare records?
The official identifier for MRS. TIA L JANICKI (PA-C) is NPI 1972636843.
Is MRS. TIA L JANICKI (PA-C) still an active registrant?
MRS. TIA L JANICKI (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to MRS. TIA L JANICKI (PA-C)?
MRS. TIA L JANICKI (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. TIA L JANICKI (PA-C) located near Foley?
MRS. TIA L JANICKI (PA-C) currently maps to Foley, Alabama in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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