SHAWN MARIE GORKIEWICZ (NP) – Nurse Practitioner, NPI 1265801625

SHAWN MARIE GORKIEWICZ (NP) is a healthcare provider. based in Burton, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704206639 (MI). The NPI Number for SHAWN MARIE GORKIEWICZ (NP) is 1265801625

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN MARIE GORKIEWICZ (NP)
NPI
1265801625
Phone
(810) 424-2011
Address
3495 S CENTER RD
Enumeration Date
16 September 2015
Last Update Date
26 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5175464210
Graduation Year
2015 (11 years ago)
PAC ID
2163730847
Group Practice PAC ID
8729453436
Professional Enrollment ID
I20150929002692
Address ID
MI488438539HO3003XAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for SHAWN MARIE GORKIEWICZ (NP)

  • 3495 S CENTER RD

    BURTON, MI 485191455

    Phone: (810) 424-2011

    Type: Mailing

  • 2486 NERREDIA ST STE E

    FLINT, MI 485324807

    Phone: (810) 230-9901

    Fax: (810) 230-9916

    Type: Location

  • 435 North Leroy

    Fenton, MI 48430

    Phone: (810) 629-3552

    Fax: (810) 629-3571

    Type: Location

  • 1320 N Michigan Ave Ste 7

    Saginaw, MI 486024751

    Phone: (989) 607-0590

    Fax: (989) 607-0595

    Type: Location

  • 435 NORTH LEROY

    FENTON, MI 48430

    Phone: (810) 629-3552

    Fax: (810) 629-3571

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $533.

Total Amount is formed as General ($533) + Research ($0) + Ownership ($0) = $533.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Ardelyx, Inc. ($131).

Total Amount

$533

General + Research + Ownership

Payments

7

Total payment records

General Amount

$533

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150929002692INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48519)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729453436View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerTX
Nurse PractitionerIL
Nurse PractitionerMN
Nurse PractitionerTX
Nurse PractitionerGA
Nurse PractitionerMI
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the registry number for SHAWN MARIE GORKIEWICZ (NP)?
The registry entry for SHAWN MARIE GORKIEWICZ (NP) shows NPI 1265801625.
Quick check: is SHAWN MARIE GORKIEWICZ (NP) active?
Public NPPES data shows SHAWN MARIE GORKIEWICZ (NP) with an active NPI status right now.
How should patients interpret SHAWN MARIE GORKIEWICZ (NP)'s specialty?
The extract shows Nurse Practitioner for SHAWN MARIE GORKIEWICZ (NP). Clinical services aligned with this taxonomy classification.
Is SHAWN MARIE GORKIEWICZ (NP) tied to Burton, Michigan?
If you are local to Burton, Michigan, SHAWN MARIE GORKIEWICZ (NP) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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