Madison Kendrick, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2308334 Issued in MA

Practice address

237A State Rd
Dartmouth, MA 02747-2612

Phone

(508) 979-1100

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Madison Gumpper Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Prima Care, PC

  • Clinic/Center
  • Fall River, MA
  • NPI 1265422596
  Medicare reassignment Care Compare group NPD
• Prime Medical Associates,LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • North Dartmouth, MA
  • NPI 1316261993
  Medicare reassignment
• Prima Care, PC

  • Orthopaedic Surgery Physician
  • Fall River, MA
  • NPI 1194587287
  NPD

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1033700885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237A STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027472612",
            "telephone_number": "508-979-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237A STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027472612",
            "telephone_number": "508-979-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "MADISON",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2308334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "GUMPPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elana Katz Rose
• Kim Katz
• Elizabeth Keith, NP
• Stephen Leighton Keith, M.D.
• Deborah D Kelly, M.D.
• Jae Kim, DMD
• Heidi King
• Matthew Kippe, MD
• Stacey N Knox, M.D.
• Sierra K Kokoo

• Family Nurse Practitioner in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.