Individual provider Active NPI

Andra Cristiu, PA-C

  • Physician Assistant
  • Canton, MI
National Provider Identifier
1306546270
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011584 Issued in MI
Practice address
44245 Ford Rd Ste 101
Canton, MI 48187-3163
Phone
(248) 977-7247
NPI assigned
Mar 8, 2023
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011584 MI Primary

Addresses

Primary practice location

44245 Ford Rd Ste 101
Canton, MI 48187-3163

Mailing address

46418 Bartlett Dr
Canton, MI 48187-1517
Phone (248) 884-3546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726001623 MI Practitioner - Physician Assistant 8729449525 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000

300 SE 68TH St
Grand Rapids, MI 49548-6927
Phone (616) 455-5000

3225 N Evergreen Dr
Grand Rapids, MI 49525-9334
Phone (616) 364-1500

3225 N Evergreen Dr NE
Grand Rapids, MI 49525-9334
Phone (616) 364-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shamael Haque, D.O., PLLC Single Specialty CurrentSince Apr 1, 2026 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Sep 10, 2023 Accepting new patients

Locations

44245 Ford Rd
Ste 101
Canton, MI 48187
Phone (248) 977-7247

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1306546270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46418 BARTLETT DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871517",
            "telephone_number": "248-884-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44245 FORD RD STE 101",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873163",
            "telephone_number": "248-977-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTIU",
        "first_name": "ANDRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.