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Active NPI 1801627286 Individual Practitioner Female Practitioner

Grace Luise Takish , FNP

Nurse Practitioner • Warren, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Grace Takish, FNP is a certified Nurse Practitioner practicing in Warren, MI. With approximately 2 years of clinical experience since completing medical education in 2024, Grace Takish delivers high-quality medical care to the local community at 11012 E 13 MILE RD STE 112.

Grace Takish is affiliated with Michigan Surgery Specialists Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

11012 E 13 Mile Rd Ste 112

Warren, MI 480932546

Telephone 5865736880
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Warren, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
30 Specialists

Practicing in Warren, MI (3626 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Takish (2 Years) 2 Yrs
Warren Specialty Average (10.5 Years) 10.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-17
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704318984

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
381958736 (MI)
Commercial Insurance / Payer ID Bcbsm
0E06376

Hospital & Practice Group Affiliations

Michigan Surgery Specialists Pc

11012 E 13 Mile Rd, Warren, MI 480932546

Phone: 5865736880

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Mark Olson , MD

Psychiatry & Neurology - Neurology

NPI 1225020746

Doctor of Medicine (M.D.)

Dr. Robert Barbosa , DO

Orthopaedic Surgery - Hand Surgery

NPI 1245230036

Doctor of Osteopathic Medicine (D.O.)

NPI 1245480581

Doctor of Medicine (M.D.)

Rachel Toma

Physician Assistant - Medical

NPI 1336802727
Dr. Jourdan Gard , DO

Orthopaedic Surgery - Hand Surgery

NPI 1346731296

Doctor of Osteopathic Medicine (D.O.)

Dr. Peter Lasater , MD

Orthopaedic Surgery

NPI 1356755433

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location October 24, 2024

Registered at 11012 E 13 MILE RD STE 112, WARREN, MI 480932546 (Tel: 5865736880)

NPI Profile Active August 08, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2024

Registered at PO BOX 44897, DETROIT, MI 482440897 (Tel: 7346041873)

📍
Updated Business Mailing Address August 08, 2024

Registered at PO BOX 44897, DETROIT, MI 482440897 (Tel: 7346041873)

👤
Provider Name / Credentials Updated August 08, 2024

Recorded as GRACE TAKISH, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2024

Nurse Practitioner (License #4704318984 in MI)

🟢
Initial NPI Registration & Enumeration August 08, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801627286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2024
Last Update: April 17, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 44897

Detroit, MI 482440897

Phone: 7346041873

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.