Active NPI
Madison Kerzel, PA
- Physician Assistant
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2925 Ryan Dr SE
Salem, OR 97301-9687 - Phone
- (503) 399-1262
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2925 Ryan Dr SE
Salem, OR 97301-9687
Mailing address
4016 Cloudview Dr S
Salem, OR 97302-2776
Phone (503) 881-9812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2925 Ryan Dr SE
Salem, OR 97301-9687
Phone (503) 399-1262
525 SE Washington St
Dallas, OR 97338-2834
Phone (503) 623-7302
7021 SW Canyon CRST
Portland, OR 97225-3622
Phone (844) 825-9300
800 SW 13TH Ave
Portland, OR 97205-1902
Phone (503) 221-0161
930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244
Hospital & facility affiliations
- Salem Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Clinic, PC | Current | Accepting new patients | |
| Salem Imaging LLC | Past | Accepting new patients | |
| Salem Health | Past | Accepting new patients |
Locations
2020 Capitol St NE
Salem, OR 97301
Phone (503) 399-2470
2925 Ryan Dr SE
Salem, OR 97301
Phone (503) 399-1262
Interoperability endpoints
- mkerzel394048@direct.salemhealth.org
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1649221813
-
- General Practice Physician
- Salem, OR
- NPI 1912935594
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1114978418
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1144062142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4016 CLOUDVIEW DR S",
"city": "SALEM",
"state": "OR",
"postal_code": "973022776",
"telephone_number": "503-881-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 RYAN DR SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973019687",
"telephone_number": "503-399-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERZEL",
"first_name": "MADISON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.