Nicole Marie Wanek, RN, DNP, AGA-CNP BC - Medicare Nurse Practitioner in Detroit, MI

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Nicole Marie Wanek, RN, DNP, AGA-CNP BC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Detroit, Michigan. Her current practice location is 4100 John R St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 576-9213.

Nicole Marie Wanek is licensed to practice in Michigan (license number 4704293074) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114738747.

Contact Information

Nicole Marie Wanek, RN, DNP, AGA-CNP BC
4100 John R St,
Detroit, MI 48201-2013
(313) 576-9213
Not Available

Map and Direction




Physician's Profile

Full NameNicole Marie Wanek
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location4100 John R St, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114738747
  • Provider Enumeration Date: 01/14/2025
  • Last Update Date: 03/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1254852973
  • Enrollment ID: I20250312002617

Medical Identifiers

Medical identifiers for Nicole Marie Wanek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114738747NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 4704293074 (Michigan)Secondary
363LA2100XNurse Practitioner - Acute Care 4704293074 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Marie Wanek allows following entities to bill medicare on her behalf.
Entity NameUniversity Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447299797
PECOS PAC ID: 8628087681
Enrollment ID: O20060419000518

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Marie Wanek is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Marie Wanek, RN, DNP, AGA-CNP BC
61815 North Ave,
Ray, MI 48096-3324

Ph: (443) 433-8425		Nicole Marie Wanek, RN, DNP, AGA-CNP BC
4100 John R St,
Detroit, MI 48201-2013

Ph: (313) 576-9213

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.