Active NPI
Madalyn Louise Wren, MSN, APRN, FNP-BC
- Nurse Practitioner
- Kansas City, MO
National Provider Identifier
1164003448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-79502-102
- Practice address
- 8700 N Green Hills Rd
Kansas City, MO 64154-1910 - Phone
- (913) 574-2520
- Fax
- (913) 574-2612
- NPI assigned
- Apr 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2020006675 | MO | |
| Nurse Practitioner | 363L00000X | 53-79502-102 | KS | Primary |
Addresses
Primary practice location
8700 N Green Hills Rd
Kansas City, MO 64154-1910
Mailing address
8925 N Kentucky CT
Kansas City, MO 64157-8559
Phone (816) 724-1126
Other names 1
- Madalyn Louise Bonderer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8700 N Green Hiils Rd
Kansas City, MO 64154-1910
Phone (913) 588-1227
Hospital & facility affiliations
- University of Kansas Hospital
- Liberty Hospital
- NKC Health
- Hedrick Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79502-102 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kansas Hospital Authority | Current | Accepting new patients | |
| University of Kansas Hospital Authority | Current | Accepting new patients |
Locations
11300 Corporate Ave
Lenexa, KS 66219
Phone (913) 574-0600
1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326
8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570
2529 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7820
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.
-
- Multi-Specialty Clinic/Center
- Kansas City, KS
- NPI 1528019502
MO
-
- Dentist
- Westwood, KS
- NPI 1295845758
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1548001464
-
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
-
- Critical Access Hospital
- Chillicothe, MO
- NPI 1912948308
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618704000000",
"number": "1164003448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8925 N KENTUCKY CT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641578559",
"telephone_number": "816-724-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 N GREEN HILLS RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641541910",
"telephone_number": "913-574-2520",
"fax_number": "913-574-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WREN",
"first_name": "MADALYN",
"middle_name": "LOUISE",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-18",
"last_updated": "2021-04-18",
"certification_date": "2021-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2020006675",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-79502-102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADALYN",
"last_name": "BONDERER",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2021; 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.