Individual provider Active NPI

Walter Joseph Madalinski III, AGCNS

  • Adult Health Clinical Nurse Specialist
  • Cedar Park, TX
National Provider Identifier
1164067781
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
AP138658 Issued in TX
Practice address
700A W Whitestone Blvd # a
Cedar Park, TX 78613-2119
Phone
(512) 331-5828
NPI assigned
Nov 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X AP138658 TX Primary

Addresses

Primary practice location

700A W Whitestone Blvd # a
Cedar Park, TX 78613-2119

Mailing address

700A W Whitestone Blvd # a
Cedar Park, TX 78613-2119
Phone (512) 331-5828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP138658TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Medical Ministries PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 1

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": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1164067781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700A W WHITESTONE BLVD # A",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132119",
            "telephone_number": "512-331-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700A W WHITESTONE BLVD # A",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132119",
            "telephone_number": "512-331-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADALINSKI",
        "first_name": "WALTER",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "AGCNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP138658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.