JAN PRUSINOWSKI (P.A.-C) – Medical Physician Assistant, NPI 1366413411
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for JAN PRUSINOWSKI (P.A.-C)
826, Highview Street, Dearborn, Wayne County, Michigan, 48128, United States
DEARBORN, MI 481281548
Phone: (313) 563-6340
Type: Mailing
Grekin Skin Institute, 1500, Eureka Road, Wyandotte, Wayne County, Michigan, 48192, United States
WYANDOTTE, MI 481926103
Phone: (734) 282-2500
Fax: (734) 282-6397
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $964.
Total Amount is formed as General ($964) + Research ($0) + Ownership ($0) = $964.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Amgen Inc. ($203).
Total Amount
$964
General + Research + Ownership
Payments
43
Total payment records
General Amount
$964
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $203 |
| Novartis Pharmaceuticals Corporation | $164 |
| Incyte Corporation | $58 |
| GENZYME CORPORATION | $50 |
| Regeneron Healthcare Solutions, Inc. | $49 |
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: 2007-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070710000489 | I | Physician Assistant | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 165 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 37 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 47 | 38 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 45 | 36 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 36 | 35 | $0 |
Insurance plans in this area (ZIP 48128)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MI | |
| Emergency Medicine | MI | |
| D E R M A T O L O G Y | MI |
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