Nicole Marie Wanek, RN, DNP, AGA-CNP BC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Detroit, Michigan. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Physician Group and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114738747.
Physician's Profile
| Full Name | Nicole Marie Wanek |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 14 Years |
|---|
| Location | 4100 John R St, Detroit, Michigan |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Nicole Marie Wanek graduated from medical school in 2011
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.
| Identifier | Type | State | Issuer |
|---|
| 1114738747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 4704293074 (Michigan) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 4704293074 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Physician Group | 8628087681 | 368 |
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 Name | University Physician Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI 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 Address | Practice 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