Andria Laila Janski

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1225 10TH St
Port Huron, MI 48060-5205

Phone

(810) 987-6200

NPI assigned

Feb 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andria Laila Zaidan Former name

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Silver Pine Medical Group PLCGroup PAC ID 8325020332, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Merit-based Incentive Payment System (MIPS)

Final score

97.42 of 100Reported as group

Quality

100

Promoting interoperability

84

Improvement activities

40

Cost

82.14

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Silver Pine Medical Group PLC

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1639105695
  Medicare reassignment Care Compare group
• Arcturus Healthcare PLC

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1326487901
  Medicare reassignment
• Blue Water Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Fort Gratiot, MI
  • NPI 1477135036
  Medicare reassignment
• Macomb Oakland Adult Medicine PC

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1669576120
  NPD
• Blue Water Urgent Care New Baltimore

  • Urgent Care Clinic/Center
  • New Baltimore, MI
  • NPI 1235841362
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1346994746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 10TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605205",
            "telephone_number": "810-987-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 10TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605205",
            "telephone_number": "810-987-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSKI",
        "first_name": "ANDRIA",
        "middle_name": "LAILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRIA",
            "last_name": "ZAIDAN",
            "middle_name": "LAILA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jane C Jacobson, C.R.N.A.
• Michelle Sue Jahn, PT
• James Fraser DDS PC
• Racheal Rose Jamison
• Janet Turner Lomasney, O.D., P.C.
• Kristen Ann Janssen, LLMSW
• John Imad Jarad, M.D.
• Kasinadh Jasti, B.PHARM
• Willie Jefferson
• Jeffery Scott Carpenter, D.C., P.L.L.C.

• Physician Assistant in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.