MARY NICOLE GORECKI AGACNP-BC, RN
NPI 1538740741
Nurse Practitioner - Acute Care in Detroit, MI

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment
2799 W GRAND BLVD, DETROIT, MI 48202(800) 653-6568 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2023, Jan 3, 2022, Apr 19, 2021 (3 updates tracked since 2021).

About Mary Nicole Gorecki Agacnp-bc, Rn NPPES

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

MARY NICOLE GORECKI AGACNP-BC, RN (NPI 1538740741) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704319268) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1538740741
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARY NICOLE GORECKICredential: AGACNP-BC, RN
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 19, 2021
Last NPPES UpdateJune 14, 20233 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
NPI 1538740741 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 · 4704319268
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704319268 (MI)
2799 W GRAND BLVD, Detroit, MI 48202

Other Names 1

Other Name (5)Mary Nicole Pallis

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

Mary Nicole Gorecki Agacnp-bc, Rn 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 ID6507259405
PECOS Enrollment IDI20220216001405
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 Mary Gorecki's NPI number?

The NPI number for Mary Gorecki is 1538740741. It was assigned to this individual provider in the NPPES registry on April 19, 2021. The provider is also known as Mary Nicole Pallis.

Where is Mary Gorecki located?

Mary Gorecki practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (800) 653-6568.

What is Mary Gorecki's specialty?

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

Is Mary Gorecki enrolled in Medicare?

Yes. Mary Gorecki 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 Mary Gorecki accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Mary Gorecki 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 Mary Gorecki affiliated with any hospitals?

According to CMS data, Mary Gorecki is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Mary Gorecki was last updated on June 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.