Doctor profile · Federal record
Dr. Fairy Queen Siekierka, AGACNP-BC
Nurse Practitioner · Detroit, MI
- NPI 1932985322
- Accepts Medicare
- 3 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3990 John R St
Detroit, MI 482012018
(313) 745-5111
fax (313) 745-3500 - Mailing address
-
20334 Oporto Ave
Livonia, MI 481521891
Credentials & registration
- NPI registered
- September 2023 — 3 yrs on file
- Profile last updated
- November 6, 2024
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Michigan #4704328579
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1932985322. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$130
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Edwards Lifesciences Corporation | 1 | $130.22 |
By nature of payment
Frequently asked questions
What is Dr. Fairy Queen Siekierka's medical specialty?
Dr. Fairy Queen Siekierka practices Nurse Practitioner in Detroit, MI.
Where does Dr. Fairy Queen Siekierka practice?
Dr. Fairy Queen Siekierka practices at 3990 John R St, Detroit, MI 482012018. Office phone: 3137455111.
What is Dr. Fairy Queen Siekierka's NPI?
Dr. Fairy Queen Siekierka's National Provider Identifier (NPI) is 1932985322, issued by NPPES.
Does Dr. Fairy Queen Siekierka accept Medicare assignment?
Yes. Dr. Fairy Queen Siekierka accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.