Individual provider Active NPI

Madison Rose Porter

  • Audiologist
  • Wexford, PA
National Provider Identifier
1083509558
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT007035 Issued in PA
Practice address
6041 Wallace Road Ext Ste 110
Wexford, PA 15090-7471
Phone
(412) 321-2480
NPI assigned
Jun 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT007035 PA Primary

Addresses

Primary practice location

6041 Wallace Road Ext Ste 110
Wexford, PA 15090-7471

Mailing address

6041 Wallace Road Ext Ste 110
Wexford, PA 15090-7471
Phone (412) 321-2480

Other names 1

  • Maddie Rose Porter Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250724003348 PA Practitioner - Qualified Audiologist 9830606995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Ear Associates PCGroup PAC ID 5294708426, 9 clinicians

Practice addresses (Care Compare)

6041 Wallace Rd Ext
Suite 110
Wexford, PA 15090-7471
Phone (412) 321-2480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT007035PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Ear Associates PC CurrentSince May 29, 2025 Accepting new patients
Pittsburgh Ear LLC Audiologist CurrentSince May 29, 2025 Accepting new patients

Locations

420 E North Ave
Ste 402
Pittsburgh, PA 15212
Phone (412) 321-2480

6041 Wallace Road Ext
Ste 110
Wexford, PA 15090
Phone (412) 321-2480

Organizations & group practices 2

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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1083509558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 WALLACE ROAD EXT STE 110",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907471",
            "telephone_number": "412-321-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 WALLACE ROAD EXT STE 110",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907471",
            "telephone_number": "412-321-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MADISON",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT007035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADDIE",
            "last_name": "PORTER",
            "middle_name": "ROSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.