Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Nicole Gorecki, AGACNP-BC, RN

Individual provider Registered Nurse · NPI 1538740741

Mary Nicole Gorecki, AGACNP-BC, RN is a Nurse Practitioner in Detroit, Michigan. Qualified in 2021, 5 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (800) 653-6568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704319268 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704319268 (MI)

Record details

NPI number1538740741
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC , RN
Sole proprietorNo
NPI enumeratedApril 19, 2021
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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