Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madalyn Rose Baczkowski, DNP, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1114603560

Madalyn Rose Baczkowski, DNP, AGPCNP-BC is a Nurse Practitioner in Royal Oak, Michigan. Qualified in 2023, 3 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
Specialties on file
4
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 551-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11883 Trailwood Rd, Plymouth, MI 48170-3730 — (248) 928-4851

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704330114 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704330114 (MI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 4704330114 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704330114 (MI)

Record details

NPI number1114603560
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , AGPCNP-BC
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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