NICOLE MARIE WANEK RN, DNP, AGA-CNP BC
NPI 1114738747
Nurse Practitioner - Acute Care in Detroit, MI

Active since January 14, 2025PECOS EnrolledAccepts Medicare Assignment
4100 JOHN R ST, DETROIT, MI 48201(313) 576-9213 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Marie Wanek Rn, Dnp, Aga-cnp Bc NPPES

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

NICOLE MARIE WANEK RN, DNP, AGA-CNP BC (NPI 1114738747) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704293074) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Karmanos Cancer Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1114738747
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE MARIE WANEKCredential: RN, DNP, AGA-CNP BC
Location Address4100 JOHN R STDetroit, MI 48201-2013
Mailing Address61815 North AveRay, MI 48096-3324 · (443) 433-8425
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 14, 2025
Last NPPES UpdateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
NPI 1114738747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704293074
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 4704293074 (MI)
4100 JOHN R ST, Detroit, MI 48201

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

Nicole Marie Wanek Rn, Dnp, Aga-cnp Bc 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 ID1254852973
PECOS Enrollment IDI20250312002617
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Pharmacy (Community/Retail Pharmacy)
4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201
General Acute Care Hospital
4100 JOHN R ST
DETROIT, MI 48201
Internal Medicine (Medical Oncology)
4100 JOHN R ST
DETROIT, MI 48201
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI 48201
Speech-Language Pathologist
4100 JOHN R ST
DETROIT, MI 48201
Nurse Practitioner (Acute Care)
4100 JOHN R ST
DETROIT, MI 48201
Pharmacist
4100 JOHN R ST
DETROIT, MI 48201
Pharmacist (Oncology)
4100 JOHN R ST
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 Nicole Wanek's NPI number?

The NPI number for Nicole Wanek is 1114738747. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Nicole Wanek located?

Nicole Wanek practices at 4100 John R St, Detroit, MI 48201. The listed phone number is (313) 576-9213.

What is Nicole Wanek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Wanek enrolled in Medicare?

Yes. Nicole Wanek 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 Nicole Wanek 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 Nicole Wanek 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 Nicole Wanek affiliated with any hospitals?

According to CMS data, Nicole Wanek is affiliated with Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Nicole Wanek was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.