Active NPI
Madison Amalia Van Hulle, DO
- Family Medicine Physician
- Ankeny, IA
National Provider Identifier
1164099362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-06194
- Practice address
- 1410 SW Tradition Dr Ste 120
Ankeny, IA 50023-9188 - Phone
- (515) 875-9040
- Fax
- (515) 875-9041
- NPI assigned
- Jun 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-06194 | IA | Primary |
Addresses
Primary practice location
1410 SW Tradition Dr Ste 120
Ankeny, IA 50023-9188
Mailing address
PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | madisonvanhulle@tic.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1410 SW Tradition Dr
Suite 120
Ankeny, IA 50023-9188
Phone (515) 875-9100
Hospital & facility affiliations
- Unitypoint at Home
- Wesley Life Home Health
- Mercyone Des Moines Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.61 of 100
- Quality
- 75.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-06194 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic PC | Family Medicine | Current | Accepting new patients |
| The Iowa Clinic, PC | Current | Accepting new patients |
Locations
1410 SW Tradition Dr
Ste 120
Ankeny, IA 50023
Phone (515) 875-9040
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589
Interoperability endpoints
- vanhulle.madison@cynchealthdsm.org
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.
-
- Family Medicine Physician
- West Des Moines, IA
- NPI 1346233178
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1871451328
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Des Moines, IA
- NPI 1194753863
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
-
- Home Health Agency
- Des Moines, IA
- NPI 1801080643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1164099362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503020424",
"telephone_number": "515-875-9255",
"fax_number": "515-875-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 SW TRADITION DR STE 120",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239188",
"telephone_number": "515-875-9040",
"fax_number": "515-875-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HULLE",
"first_name": "MADISON",
"middle_name": "AMALIA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-07",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-06194",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "madisonvanhulle@tic.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1410 SW Tradition Dr Ste 120",
"city": "Ankeny",
"state": "IA",
"country_code": "US",
"postal_code": "500239188",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.