Individual provider Active NPI

Madison Katzenmeyer

  • Physician Assistant
  • Davis, CA
National Provider Identifier
1306680483
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65895 Issued in CA
Practice address
2035 Lyndell Ter Ste 120
Davis, CA 95616-6222
Phone
(800) 478-8837
Fax
(530) 491-2907
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA65895 CA Primary

Addresses

Primary practice location

2035 Lyndell Ter Ste 120
Davis, CA 95616-6222

Mailing address

2035 Lyndell Ter Ste 120
Davis, CA 95616-6222
Phone (800) 478-8837

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
I20250318003650 CA Practitioner - Physician Assistant 6103348222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2035 Lyndell Ter
Suite 120
Davis, CA 95616-6222
Phone (530) 750-5999

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Sacramento, CA, CCN 557073
  • Sutter Davis Hospital Hospital, Davis, CA, CCN 050537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA65895CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Mar 2, 2026 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 2, 2026 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

2035 Lyndell Ter
Ste 120
Davis, CA 95616
Phone (530) 750-5999

125 N Lincoln St
Ste G
Dixon, CA 95620
Phone (707) 678-1623

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

111 Main St
#B
Winters, CA 95694
Phone (530) 795-4591

Interoperability endpoints

  • Direct secure messaging: mkatzenmeyer684070@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1306680483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LYNDELL TER STE 120",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166222",
            "telephone_number": "800-478-8837",
            "fax_number": "530-491-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LYNDELL TER STE 120",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166222",
            "telephone_number": "800-478-8837",
            "fax_number": "530-491-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZENMEYER",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.