Individual provider Active NPI

Madalyn Jasmine Cosensci, PMHNP DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1285369124
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021852 Issued in CA
Practice address
770 1St Ave
San Diego, CA 92101-6169
Phone
(619) 292-8304
Fax
(619) 393-0780
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021852 CA Primary

Addresses

Primary practice location

770 1St Ave
San Diego, CA 92101-6169

Mailing address

7135 Navajo Rd Apt 1313
San Diego, CA 92119-4612
Phone (916) 292-0821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230214002159 CA Practitioner - Nurse Practitioner 3678945920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kab Medical Group IncGroup PAC ID 7719211358, 15 clinicians

Practice addresses (Care Compare)

765 3Rd Ave
Suite 100
Chula Vista, CA 91910-5842
Phone (858) 925-6137

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kab Medical Group Inc CurrentSince Sep 29, 2022 Accepting new patients
Hope & Heart Psychiatry Psychiatric/Mental Health CurrentSince Jul 23, 2024 Accepting new patients
Pacific Health Systems, L.P. PastSince Jul 1, 2022 Accepting new patients
Advanced TMS Clinic Inc PastSince Jul 1, 2022 Accepting new patients

Locations

765 Third Ave
Ste 100
Chula Vista, CA 91910
Phone (619) 765-2684

5300 Santa Monica Blvd
Ste 420
Los Angeles, CA 90029
Phone (619) 765-2684

770 1st Ave
Ste 250
San Diego, CA 92101
Phone (619) 292-8304

6496 Weathers Pl
Ste 100
San Diego, CA 92121
Phone (858) 925-6137

10717 Sorrento Valley Rd
Ste 210
San Diego, CA 92121
Phone (858) 925-6137

1968 Via Ctr
Ste B
Vista, CA 92081
Phone (760) 691-2370

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1285369124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 NAVAJO RD APT 1313",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921194612",
            "telephone_number": "916-292-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016169",
            "telephone_number": "619-292-8304",
            "fax_number": "619-393-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSENSCI",
        "first_name": "MADALYN",
        "middle_name": "JASMINE",
        "credential": "PMHNP DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.