Individual provider Active NPI

Madalyn Marie Nygren, MD

  • Emergency Medicine Physician
  • Orange Park, FL
National Provider Identifier
1336725779
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD20047 Issued in RI
Practice address
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone
(904) 639-2000
Fax
(904) 639-2015
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01100206A IN
Emergency Medicine Physician 207P00000X MD20047 RI Primary
Emergency Medicine Physician 207P00000X 1019584 MA

Addresses

Primary practice location

2001 Kingsley Ave
Orange Park, FL 32073-5148

Mailing address

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-2000

Other practice location 1

720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 663-4331

Other practice location 2

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000

Other practice location 3

115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1000

Other practice location 4

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Other practice location 5

1451 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 752-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240819000132 MA Practitioner - Emergency Medicine 0648718932 Reassigns benefits to 1 organization
I20250828004204 RI Practitioner - Emergency Medicine 0648718932 Reassigns benefits to 1 organization
I20260605000418 IN Practitioner - Emergency Medicine 0648718932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oakland Univ, William Beaumont School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians
Emergency Care Services of New England PCGroup PAC ID 9739487562, 23 clinicians

Practice addresses (Care Compare)

1451 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 752-3456

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Hospital & facility affiliations

  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • Norton Scott Hospital Hospital, Scottsburg, IN, CCN 151334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1019584MAMDEmergency Medicine Physician
MD20047RIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Services of New England PC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Emergency Physician Associates of Massachusetts PC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

Organizations & group practices 5

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 3

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1336725779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735148",
            "telephone_number": "904-639-2000",
            "fax_number": "904-639-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735148",
            "telephone_number": "904-639-2000",
            "fax_number": "904-639-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 N Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "IN",
            "postal_code": "472401327",
            "country_code": "US",
            "telephone_number": "812-663-4331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Summer St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-363-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017026358",
            "country_code": "US",
            "telephone_number": "508-383-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 N Gardner St",
            "address_purpose": "LOCATION",
            "city": "Scottsburg",
            "state": "IN",
            "postal_code": "471707751",
            "country_code": "US",
            "telephone_number": "812-752-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYGREN",
        "first_name": "MADALYN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01100206A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD20047",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "1019584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.