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

MS. Miranda M Macko, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1710730981

MS. Miranda M Macko, AGNP-C is a Nurse Practitioner in Dearborn, Michigan. Qualified in 2023, 3 years ago. Practices with MA Sobh DO PLC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
Specialties on file
4
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

904 Mason St
Dearborn, MI 48124-2215
Phone: (313) 586-7525
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704367492 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704367492 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704367492 (MI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 4704367492 (MI)

Record details

NPI number1710730981
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESDecember 15, 2024
Certification dateDecember 15, 2024

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 Ma Sobh Do Plc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dearborn