Individual provider Active NPI

Jody Lynn Madden, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1023421344
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27907 Issued in SC
Practice address
2000 Cliffmine Rd Ste 500
Pittsburgh, PA 15275-1053
Phone
(878) 201-3312
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27907 SC Primary
Adult Health Nurse Practitioner 363LA2200X SP021525 PA

Addresses

Primary practice location

2000 Cliffmine Rd Ste 500
Pittsburgh, PA 15275-1053

Mailing address

2000 Cliffmine Rd Ste 500
Pittsburgh, PA 15275-1053
Phone (878) 201-3312

Other names 1

  • Ms. Jody Lynn Madden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210823003064 PA Practitioner - Nurse Practitioner 2769887132 Reassigns benefits to 1 organization
I20231030001230 SC Practitioner - Nurse Practitioner 2769887132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care of South Carolina LLCGroup PAC ID 7618352451, 32 clinicians

Practice addresses (Care Compare)

101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Habiba Health Services PC CurrentSince Sep 13, 2021 Accepting new patients
Lotus Wellness and Integrative Medicine LLC Current Accepting new patients
Careconnectmd South Carolina P.C. CurrentSince Dec 26, 2023 Accepting new patients
Supportive Care of South Carolina LLC CurrentSince Sep 1, 2024 Accepting new patients
Senior Life Greensburg, Inc Past Accepting new patients
Personal Care Medical Associates, LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

828 W Main St
Mt Pleasant, PA 15666
Phone (724) 547-4441

1240 Winnowing Way
Unit 102
Mt Pleasant, SC 29466
Phone (828) 396-5634

Organizations & group practices 6

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1023421344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CLIFFMINE RD STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751053",
            "telephone_number": "878-201-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CLIFFMINE RD STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751053",
            "telephone_number": "878-201-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "27907",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP021525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "MADDEN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.