Individual provider Active NPI

Madison Marie McDonald

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1366925281
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60976632 Issued in WA
Practice address
910 W 5TH Ave Ste 800
Spokane, WA 99204-2912
Phone
(509) 755-5120
Fax
(509) 342-2272
NPI assigned
Sep 7, 2018
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 PA60976632 WA Primary

Addresses

Primary practice location

910 W 5TH Ave Ste 800
Spokane, WA 99204-2912

Mailing address

7707 N Fox Point Dr
Spokane, WA 99208-6325
Phone (253) 302-7995

Other practice location 1

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4001

Other practice location 2

1123 N Evergreen Rd
Spokane Valley, WA 99216
Phone (509) 363-3100

Other practice location 3

1401 E Trent Ave # 200
Spokane, WA 99202-2902
Phone (509) 747-3147

Other practice location 4

13424 E Mission Ave Ste A
Spokane Valley, WA 99216-2759
Phone (509) 462-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmcdonald1008365@wm.providencedirect.org Spokane Urology, P.S.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200428001403 WA Practitioner - Physician Assistant 0941637763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60976632WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Physician Assistant CurrentSince Sep 7, 2023 Accepting new patients
Multicare Health System CurrentSince Sep 7, 2023 Accepting new patients
American Oncology Partners, P.a. CurrentSince Aug 18, 2024 Accepting new patients
Spokane Urology PLLC CurrentSince Apr 26, 2020 Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

1401 E Trent Ave
#200
Spokane, WA 99202
Phone (509) 747-3147

1401 E Trent Ave
Ste 200
Spokane, WA 99202
Phone (509) 747-3147

910 W 5th Ave
Ste 800
Spokane, WA 99204
Phone (509) 755-5120

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: mmcdonald1008365@wm.providencedirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1366925281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 N FOX POINT DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086325",
            "telephone_number": "253-302-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W 5TH AVE STE 800",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042912",
            "telephone_number": "509-755-5120",
            "fax_number": "509-342-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4311 11th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981056367",
            "country_code": "US",
            "telephone_number": "206-616-4001",
            "fax_number": "206-616-3889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1123 N Evergreen Rd",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "99216",
            "country_code": "US",
            "telephone_number": "509-363-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 E Trent Ave # 200",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992022902",
            "country_code": "US",
            "telephone_number": "509-747-3147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13424 E Mission Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992162759",
            "country_code": "US",
            "telephone_number": "509-462-2273",
            "fax_number": "509-462-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60976632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcdonald1008365@wm.providencedirect.org",
            "affiliation": "Y",
            "affiliationName": "Spokane Urology, P.S.",
            "address_1": "1401 E Trent Ave # 200",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992022902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.