Individual provider Active NPI

Madge Fleurimond Cemelus, PA-C

  • Medical Physician Assistant
  • Salem, MA
National Provider Identifier
1013450956
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9109719 Issued in FL
Practice address
47 Congress St
Salem, MA 01970-5590
Phone
(978) 744-8388
NPI assigned
Nov 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9242 MA
Medical Physician Assistant 363AM0700X PA9109719 FL Primary

Addresses

Primary practice location

47 Congress St
Salem, MA 01970-5590

Mailing address

47 Congress St
Salem, MA 01970-5590
Phone (978) 744-8388

Other practice location 1

302 Washington St
Gloucester, MA 01930-4836
Phone (978) 282-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170808003222 FL Practitioner - Physician Assistant 4183995285 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9242MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Makenah LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

1507 E Las Olas Blvd
Fort Lauderdale, FL 33301
Phone (516) 668-6269

Interoperability endpoints

  • Direct secure messaging: mfleurimondcemelus45031@direct.ctc.masshiway.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1013450956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CONGRESS ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705590",
            "telephone_number": "978-744-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CONGRESS ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705590",
            "telephone_number": "978-744-8388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Washington St",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "MA",
            "postal_code": "019304836",
            "country_code": "US",
            "telephone_number": "978-282-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEURIMOND CEMELUS",
        "first_name": "MADGE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-27",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA9242",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.