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

Mrs. Samantha Michelle Kaczmarek, FNP-BC

Individual provider Registered Nurse · NPI 1154968667

Mrs. Samantha Michelle Kaczmarek, FNP-BC is a Nurse Practitioner in Troy, Michigan. Qualified in 2019, 7 years ago. Practices with Custom Hospice, LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

888 W Big Beaver Rd Ste 900
Troy, MI 48084
Phone: (248) 629-2880
Fax: (248) 319-6493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704311772 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704311772 (MI)

Record details

NPI number1154968667
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedDecember 3, 2019
Last updated in NPPESNovember 2, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Custom Hospice, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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