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Active NPI 1710730981 Individual Practitioner Female Practitioner

Miranda M Macko , AGNP-C

Nurse Practitioner • Dearborn, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Miranda Macko, AGNP-C is a certified Nurse Practitioner practicing in Dearborn, MI. With approximately 3 years of clinical experience since completing medical education in 2023, Miranda Macko delivers high-quality medical care to the local community at 904 MASON ST.

Miranda Macko is affiliated with Ma Sobh Do Plc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

904 Mason St

Dearborn, MI 481242215

Telephone 3135867525
Associated Practice Facility / Clinic
🏢 Ma Sobh Do Plc Facility NPI 1568889376

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dearborn, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -5.6 yrs vs City Avg
City Avg: 8.6 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
68 Specialists

Practicing in Dearborn, MI (3626 Statewide)

Telehealth Adoption Rate
10.3% 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. Macko (3 Years) 3 Yrs
Dearborn Specialty Average (8.6 Years) 8.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704367492

(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.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License MI 4704367492

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License MI 4704367492

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License MI 4704367492

Definition to come...

Hospital & Practice Group Affiliations

Ma Sobh Do Plc

904 Mason St, Dearborn, MI 481242215

Phone: 3135867525

Practice Associates & Co-Workers

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

2 Associated Practitioners
Kendall Roberts , AGPCNP-BC

Nurse Practitioner - Primary Care

NPI 1215682448

AGPCNPBC

Stefanie Singh , AGNP-BC

Nurse Practitioner

NPI 1447751300

Adult-Gerontology Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address December 15, 2024

Registered at 904 MASON ST, DEARBORN, MI 481242215 (Tel: 3135867525)

📍
Updated Practice Location June 25, 2024

Registered at 904 MASON ST, DEARBORN, MI 481242215 (Tel: 3135867525)

NPI Profile Active April 09, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2024

Registered at 2390 VERNON ST, TRENTON, MI 481832565 (Tel: 7342864562)

📍
Updated Business Mailing Address April 09, 2024

Registered at 2390 VERNON ST, TRENTON, MI 481832565 (Tel: 7342864562)

👤
Provider Name / Credentials Updated April 09, 2024

Recorded as MIRANDA MACKO, AGNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2024

Nurse Practitioner (License #4704367492 in MI)

🟢
Initial NPI Registration & Enumeration April 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: 1710730981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2024
Last Update: December 15, 2024
Sole Proprietor: No

Mailing Address

904 Mason St

Dearborn, MI 481242215

Phone: 3135867525

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.