Samantha Michelle Kaczmarek, FNP-BC
NPI 1154968667ActiveIndividual· Nurse Practitioner, Family· Troy, MI
Nurse Practitioner, Family (FNP-BC) with Custom Hospice, LLC, practicing in Troy, Michigan. 85 Medicare patients in 2024, $22,912 paid; nearly all of their 604 Part D prescriptions were generic (95%).
Overview
| NPI | 1154968667 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | Yes |
| NPI issued | Dec 3, 2019 |
| Last updated in NPPES | Nov 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 4704311772 | MI |
| Registered Nurse | 163W00000X | 4704311772 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 85 |
|---|---|
| Services billed | 326 across 19 procedure codes |
| Paid by Medicare | $22,912 |
Part D prescriptions in 2024
| Prescriptions (claims) | 604 · 653 30-day fills |
|---|---|
| Patients | 98 |
| Total drug cost | $14,166 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Custom Hospice, LLCTroy, MI · 3 clinicians
Other facilities
- Custom Home HealthHome health agency · Troy, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 122 family nurse practitioners in Troy · All family nurse practitioners in Michigan