Individual provider Active NPI

Madeline Renee Edwards Crosslin, PA

  • Medical Physician Assistant
  • Tomball, TX
National Provider Identifier
1366269607
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19590 Issued in TX
Practice address
17154 N Eldridge Pkwy Ste a
Tomball, TX 77377-2864
Phone
(832) 688-9479
NPI assigned
Sep 25, 2024
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19590 TX Primary

Addresses

Primary practice location

17154 N Eldridge Pkwy Ste a
Tomball, TX 77377-2864

Mailing address

17154 N Eldridge Pkwy Ste a
Tomball, TX 77377-2864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241209003145 AL Practitioner - Physician Assistant 5193251593 Reassigns benefits to 1 organization
I20251104003226 TX Practitioner - Physician Assistant 5193251593 Reassigns benefits to 1 organization

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
Heart and Vascular Center of North Houston, PLLCGroup PAC ID 5799941886, 4 clinicians

Practice addresses (Care Compare)

17154 N Eldridge Pkwy
Suite a
Tomball, TX 77377-8002
Phone (832) 729-4696

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Center of North Houston, PLLC CurrentSince Nov 20, 2025 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

17154 N Eldridge Pkwy
Ste A
Tomball, TX 77377
Phone (832) 688-9479

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIAIBA
  • Direct secure messaging: medwards201420@directinfirmaryhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1366269607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17154 N ELDRIDGE PKWY STE A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773772864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17154 N ELDRIDGE PKWY STE A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773772864",
            "telephone_number": "832-688-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSLIN",
        "first_name": "MADELINE",
        "middle_name": "RENEE EDWARDS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA19590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.