Individual provider Active NPI

Madeline Walls, PA-C

  • Physician Assistant
  • Chapel Hill, NC
National Provider Identifier
1104531706
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6330 Quadrangle Dr
Chapel Hill, NC 27517-8279
Phone
(844) 932-5700
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0009711 CO
Physician Assistant 363A00000X OH Primary

Addresses

Primary practice location

6330 Quadrangle Dr
Chapel Hill, NC 27517-8279

Mailing address

6330 Quadrangle Dr
Chapel Hill, NC 27517-8279
Phone (844) 932-5700

Other practice location 1

11900 Grant St Ste 360
Northglenn, CO 80233-1117
Phone (303) 604-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20230323000598 OH Practitioner - Physician Assistant 6901270438 Reassigns benefits to 4 organizations
I20250428001169 KY Practitioner - Physician Assistant 6901270438 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians

Practice addresses (Care Compare)

306 W Main St
Suite 512
Frankfort, KY 40601-1840
Phone (855) 743-2247

828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus WH Midwest Care, LLC Physician Assistant CurrentSince Jan 3, 2026 Accepting new patients
Eventus Ecs - Kentucky, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Eventus Ecs - Ohio LLC Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients

Locations

922 State St
Fl 4
Bowling Green, KY 42101

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1104531706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 QUADRANGLE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178279",
            "telephone_number": "844-932-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 QUADRANGLE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178279",
            "telephone_number": "844-932-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11900 Grant St Ste 360",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802331117",
            "country_code": "US",
            "telephone_number": "303-604-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLS",
        "first_name": "MADELINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009711",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.