Katherine Elizabeth Madsen, N.P.
Individual provider Active NPI Registered Nurse · Modesto, CA
NPI 1043643448 · NPPES record last updated Aug 21, 2013
Key facts
- NPI
- 1043643448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN309356 (CA)
- Practice address
- 1700 Coffee Rd
Modesto, CA 95355-2803 - Phone
- (209) 530-3404
- NPI assigned
- Aug 21, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220331001274 | CA | Practitioner - Nurse Practitioner | 5799171740 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN309356 | CA | MD | Registered Nurse |
| 309356 | CA | MD | Physical Therapist |
| 8804 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Hospitals | Current |
Accepting new patients | |
| Sutter Valley Hospitals | Current | Accepting new patients | |
| Sutter Valley Hospitals | Current |
Accepting new patients |
Locations
1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500
Interoperability endpoints
- kmadsen37088@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN309356 | CA | Yes |
Addresses
Primary practice location
1700 Coffee Rd
Modesto, CA 95355-2803
Mailing address
1700 Coffee Rd
Memorial Medical Center
Modesto, CA 95355-2803
Phone (209) 530-3404
Other providers in Modesto, CA
- Laura Stephanie Madrigal
- Maria Elena Madrigal
- Marisela Madrigal
- Valerie Madrigal
- Seny Madriz Fajardo
- Mark J. Madsen
- Nikki Madson
- Misao Emily Maeyama
- Sepideh Maftoun-Banankhah
- Xochitl Magallan
All providers in Modesto, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.