Madelyne Elyse Sanders
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fayette, MO
NPI 1245995935 · NPPES record last updated Apr 20, 2022
Key facts
- NPI
- 1245995935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 2021045364 (MO)
- Practice address
- 600 W Morrison St
Fayette, MO 65248-1471 - Phone
- (660) 248-2900
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- John Fitzgibbon Memorial Hospital Inc
Practice addresses (Care Compare)
600 W Morrison St
Suite 5
Fayette, MO 65248-1075
Phone (660) 248-2900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220705001242 | MO | Practitioner - Nurse Practitioner | 9537549845 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Fitzgibbon Memorial Hospital Inc. | Current |
Accepting new patients | |
| John Fitzgibbon Memorial Hospital Inc | Psychiatry | Current |
Accepting new patients |
| John Fitzgibbon Memorial Hospital Inc | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital, Inc. | Current | Accepting new patients |
Locations
600 W Morrison St
Fayette, MO 65248
Phone (660) 248-2900
2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730
2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800
420 W Front St
Slater, MO 65349
Phone (660) 529-2251
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2021045364 | MO | Yes |
Addresses
Primary practice location
600 W Morrison St
Fayette, MO 65248-1471
Mailing address
402 3Rd St
Glasgow, MO 65254-1314
Phone (660) 728-9949
Other practice location 1
2305 S Highway 65
Marshall, MO 65340-3702
Phone (660) 886-7431
Other providers in Fayette, MO
- Ashley J Ritter
- Shelby Roark
- Rick Errett Sage
- Sam'S Prescription Shop, Inc.
- Sams Prescription Shop Inc
- Kolin Schulte
- Andrea Michelle Schuster
- Andrew Wade Seaton
- Alex Silcott
- Carly Owens Steuber
All providers in Fayette, MO · Psychiatric/Mental Health Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.