Individual provider Active NPI

Ann B Madsen, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Auburn, AL
National Provider Identifier
1245779974
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-135788 Issued in AL
Practice address
778 N Dean Rd Ste 300
Auburn, AL 36830-4315
Phone
(334) 219-0425
Fax
(334) 460-0468
NPI assigned
Feb 14, 2017
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-135788 AL Primary
Registered Nurse 163W00000X 1-135788 AL

Addresses

Primary practice location

778 N Dean Rd Ste 300
Auburn, AL 36830-4315

Mailing address

778 N Dean Rd Ste 300
Auburn, AL 36830-4315
Phone (251) 610-0296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170607002047 AL Practitioner - Nurse Practitioner 5496023806 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-135788ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Psychological Wellness Center LLC CurrentSince Sep 7, 2024 Accepting new patients

Locations

778 N Dean Rd
Ste 300
Auburn, AL 36830
Phone (334) 219-0425

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1245779974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 N DEAN RD STE 300",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304315",
            "telephone_number": "251-610-0296",
            "fax_number": "334-460-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 N DEAN RD STE 300",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304315",
            "telephone_number": "334-219-0425",
            "fax_number": "334-460-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "ANN",
        "middle_name": "B",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-135788",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-135788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.