MADALYN ROSE BACZKOWSKI DNP, AGPCNP-BC
NPI 1114603560
Nurse Practitioner in Royal Oak, MI

Q: What is Madalyn Baczkowski's NPI number?

The NPI number for Madalyn Baczkowski is 1114603560. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Q: What is Madalyn Baczkowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 22, 2023PECOS EnrolledAccepts Medicare Assignment

3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 551-4400 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Jun 22, 2023 (2 updates tracked since 2023).

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About Madalyn Rose Baczkowski Dnp, Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADALYN ROSE BACZKOWSKI DNP, AGPCNP-BC (NPI 1114603560) is an individual nurse practitioner in Royal Oak, Michigan, licensed in Michigan (4704330114) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Plymouth.

NPPES Registry Identity

NPI1114603560

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMADALYN ROSE BACZKOWSKICredential: DNP, AGPCNP-BC

Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712

Mailing Address26901 Beaumont BlvdSouthfield, MI 48033-3849

Phone(248) 551-4400

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 22, 2023

Last NPPES UpdateMay 20, 20252 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1114603560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704330114

Definition

(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.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 4704330114 (MI)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704330114 (MI)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704330114 (MI)

3601 W 13 MILE RD, Royal Oak, MI 48073

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Secondary Practice Location 1

Location 111883 Trailwood RdPlymouth, MI 48170-3730 · Phone (248) 928-4851

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madalyn Rose Baczkowski Dnp, Agpcnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769836295

PECOS Enrollment IDI20231002002278

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIT BAHL MD, MPH

Emergency Medicine

3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073

Oakland County (248) 898-0575

CATHERINE LEE PA

Physician Assistant