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

Nicole Marie Wanek, RN, DNP, AGA-CNPBC

Individual provider Hematology & Oncology Physician · NPI 1114738747

Nicole Marie Wanek, RN, DNP, AGA-CNPBC is a Nurse Practitioner in Detroit, Michigan. Qualified in 2011, 15 years ago. Practices with University Physician Group, a 402-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2025
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.
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

4100 John R St
Detroit, MI 48201-2013
Phone: (313) 576-9213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704293074 (MI)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 4704293074 (MI)

Record details

NPI number1114738747
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , DNP , AGA-CNPBC
Sole proprietorNo
NPI enumeratedJanuary 14, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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