Active NPI
Madison David Cooley, RN
- Hospice Registered Nurse
- Wichita, KS
National Provider Identifier
1013866979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice Registered Nurse
- License
- 13-166364-052
- Practice address
- 3450 N Rock Rd BLDG 200
Wichita, KS 67226-1327 - Phone
- (316) 688-5511
- NPI assigned
- Jan 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | 13-166364-052 | KS | Primary |
Addresses
Primary practice location
3450 N Rock Rd BLDG 200
Wichita, KS 67226-1327
Mailing address
5923 W 42ND St S
Wichita, KS 67215-2041
Phone (316) 573-3988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-166364-052 | KS | MD | Hospice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769212800000",
"number": "1013866979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5923 W 42ND ST S",
"city": "WICHITA",
"state": "KS",
"postal_code": "672152041",
"telephone_number": "316-573-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 N ROCK RD BLDG 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261327",
"telephone_number": "316-688-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "MADISON",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-24",
"last_updated": "2026-01-24",
"certification_date": "2026-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "KS",
"license": "13-166364-052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.