Active NPI
Madison Andersen
- Physical Medicine & Rehabilitation Physician
- Bellevue, NE
National Provider Identifier
1376423962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4826
- Practice address
- 11511 S 42ND St Ste 106
Bellevue, NE 68123-1089 - Phone
- (402) 502-4678
- Fax
- (402) 933-9137
- NPI assigned
- Sep 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4826 | NE | Primary |
Addresses
Primary practice location
11511 S 42ND St Ste 106
Bellevue, NE 68123-1089
Mailing address
11511 S 42ND St Ste 106
Bellevue, NE 68123-1089
Phone (402) 502-4678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260107001266 | NE | Practitioner - Physical Therapist in Private Practice | 8729564034 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Achieve PC
Practice addresses (Care Compare)
11511 S 42ND St
Suite 106
Bellevue, NE 68123-1089
Phone (402) 502-4678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4826 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve PC | Current | Accepting new patients |
Locations
11511 S 42nd St
Ste 106
Bellevue, NE 68123
Phone (402) 502-4678
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1376423962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 S 42ND ST STE 106",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681231089",
"telephone_number": "402-502-4678",
"fax_number": "402-933-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11511 S 42ND ST STE 106",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681231089",
"telephone_number": "402-502-4678",
"fax_number": "402-933-9137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-04",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NE",
"license": "4826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.