Madeleine Victoria Shetler, MSN, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1141456 Issued in TX

Practice address

2309 Santa Maria St
Austin, TX 78702-4617

Phone

(512) 580-9204

NPI assigned

Nov 16, 2023

Last updated

Nov 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Modern Pediatrics Professionals, PLLC

  • Pediatrics Physician
  • Austin, TX
  • NPI 1154952505
  NPD

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1306611678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 WYCKHAM RISE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095415",
            "telephone_number": "210-861-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 SANTA MARIA ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024617",
            "telephone_number": "512-580-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETLER",
        "first_name": "MADELEINE",
        "middle_name": "VICTORIA",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1141456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Marshal Sherwood, DDS
• Jason Shestok, PSY.D.
• Sheetal Sheth-Patel, PSY.D.
• Mehul Vikram Sheth, M.D.
• Pratixa Sheth
• Divya Y. Shetty, D.M.D
• Megan Ashley Shevekhman, OTR
• Cameron Shew, MD
• Chuan Shi
• Yan None Shi

• Pediatric Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.