Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAN PRUSINOWSKI P.A.-C
NPI 1366413411
Physician Assistant - Medical in Wyandotte, MI

Active since January 27, 2006PECOS Enrolled
90.53/100
CMS Quality Rating
1500 EUREKA RD, WYANDOTTE, MI 48192(734) 282-2500(734) 282-6397 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jan Prusinowski P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN PRUSINOWSKI P.A.-C (NPI 1366413411) is an individual medical provider in Wyandotte, Michigan, licensed in Michigan (5601001290) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Mercy College (1980).

NPPES Registry Identity

NPI1366413411
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJAN PRUSINOWSKICredential: P.A.-C
Location Address1500 EUREKA RDWyandotte, MI 48192-6103
Mailing Address826 Highview StDearborn, MI 48128-1548 · (313) 563-6340
Fax(734) 282-6397
Sole ProprietorNo
Medical School CMSMercy CollegeGraduated 1980
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1366413411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601001290
1500 EUREKA RD, Wyandotte, MI 48192

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jan Prusinowski P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789784539
PECOS Enrollment IDI20070710000489
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
293 services44 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
66 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services49 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
43 services38 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
25 services20 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
20 services18 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.14
Improvement Activities40
Cost92.02

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology (MOHS-Micrographic Surgery)
1500 EUREKA RD
WYANDOTTE, MI 48192
Dermatology
1500 EUREKA RD
WYANDOTTE, MI 48192
Dermatology
1500 EUREKA RD
WYANDOTTE, MI 48192
Dermatology
1500 EUREKA RD
WYANDOTTE, MI 48192
Dermatology (MOHS-Micrographic Surgery)
1500 EUREKA RD
WYANDOTTE, MI 48192
Nurse Practitioner (Family)
1500 EUREKA RD
WYANDOTTE, MI 48192
Nurse Practitioner (Family)
1500 EUREKA RD
WYANDOTTE, MI 48192
Dermatology
1500 EUREKA RD
WYANDOTTE, MI 48192

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 Jan Prusinowski's NPI number?

The NPI number for Jan Prusinowski is 1366413411. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Jan Prusinowski located?

Jan Prusinowski practices at 1500 Eureka Rd, Wyandotte, MI 48192. The listed phone number is (734) 282-2500.

What is Jan Prusinowski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jan Prusinowski enrolled in Medicare?

Yes. Jan Prusinowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jan Prusinowski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Jan Prusinowski 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.

When was this NPI record last updated?

The NPPES record for Jan Prusinowski was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.