AQUANDRALYN BAJRIC
NPI 1063190239
Registered Nurse in Detroit, MI
About Aquandralyn Bajric NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AQUANDRALYN BAJRIC (NPI 1063190239) is an individual registered nurse in Detroit, Michigan, licensed in Michigan (4704338435) and active in the NPI registry since July 2023. She is affiliated with Beaumont Hospital - Dearborn and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aquandralyn Bajric is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Aquandralyn Bajric reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 905 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Dearborn
Acute Care Hospitals · Dearborn, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Aquandralyn Bajric's NPI number?
The NPI number for Aquandralyn Bajric is 1063190239. It was assigned to this individual provider in the NPPES registry on July 7, 2023.
Where is Aquandralyn Bajric located?
Aquandralyn Bajric practices at 259 Mack Ave, Detroit, MI 48201. The listed phone number is (616) 272-0659.
What is Aquandralyn Bajric's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Aquandralyn Bajric enrolled in Medicare?
Yes. Aquandralyn Bajric is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Aquandralyn Bajric's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aquandralyn Bajric reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aquandralyn Bajric's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Aquandralyn Bajric accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Aquandralyn Bajric as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Aquandralyn Bajric affiliated with any hospitals?
According to CMS data, Aquandralyn Bajric is affiliated with Beaumont Hospital - Dearborn.
When was this NPI record last updated?
The NPPES record for Aquandralyn Bajric was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Aquandralyn Bajric · NPI 1063190239
Registered Nurse provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since July 7, 2023.
## Identity
- **NPI:** 1063190239 (Entity type: Individual)
- **Enumerated:** July 7, 2023
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** 4704338435 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 259 MACK AVE, Detroit, MI 48201-2427
- **Phone:** (616) 272-0659
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1528374683, Grand Rapids, MI); Northstar Anesthesia Of Michigan III PLLC (NPI 1972126209, Irving, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1063190239) · Data from the CMS NPPES public registry.