Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Elizabeth Lasecki, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1134833494

Nicole Elizabeth Lasecki, FNP-BC is a Nurse Practitioner in Canton, Michigan. Qualified in 2023, 3 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

6367 Pickwick Dr
Canton, MI 48187-3630
Phone: (734) 968-6785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704344192 (MI)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 4704344192 (MI)

Record details

NPI number1134833494
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 11, 2023
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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