Tamara Lynn Gorniak, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704271380 Issued in MI

Practice address

818 Riverside Ave
Adrian, MI 49221-1446

Phone

(517) 265-0900

NPI assigned

Aug 26, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hillsdale Emergency Physicians, P.C.Group PAC ID 0648605766, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hillsdale Emergency Physicians, P.C.

  • Emergency Medicine Physician
  • Hillsdale, MI
  • NPI 1669018206

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Mercy Emergency Care Services, Inc.

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1477957819

  Nurse Practitioner

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hillsdale Community Health Center

  • General Acute Care Hospital
  • Hillsdale, MI
  • NPI 1730115940
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1316493711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 EBER RD STE E",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 RIVERSIDE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211446",
            "telephone_number": "517-265-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNIAK",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.019999",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704271380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Gonzalez, LLMSW
• Samantha Good, QMHS
• Amy Goodman
• Goodwill Industries of Southeastern Michigan, Inc.
• Nilaine Gordon, M.A. C.P.S.S.
• Aron Alan Gornowicz, D.O.
• Scott Graham, LLPC
• Gary Wynn Gray, PT
• Karin Marie Gray, MA LPC CCSOTS
• Melissa G Gray, OTRL

• Nurse Practitioner in Adrian, MI
• Providers in Adrian, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.