Individual provider Active NPI

Madeline Mae Goettsch, PA-C

  • Physician Assistant
  • Allen, TX
National Provider Identifier
1356225346
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19335 Issued in TX
Practice address
1106 Surrey LN
Allen, TX 75013-5610
Phone
(214) 868-8947
NPI assigned
Aug 2, 2025
Last updated
Aug 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 PA19335 TX Primary

Addresses

Primary practice location

1106 Surrey LN
Allen, TX 75013-5610

Mailing address

1106 Surrey LN
Allen, TX 75013-5610
Phone (214) 868-8947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1080 E Stuart Dr Apt
Suite 7
Galax, VA 24333-2646

5261 Carrollton Pike
Suite a
Woodlawn, VA 24381-3034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA19335TXMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1356225346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SURREY LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135610",
            "telephone_number": "214-868-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 SURREY LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135610",
            "telephone_number": "214-868-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETTSCH",
        "first_name": "MADELINE",
        "middle_name": "MAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.