Individual provider Active NPI

Ashlyn M Madeira, FNP-C

  • Family Nurse Practitioner
  • Newville, PA
National Provider Identifier
1386411098
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029152 Issued in PA
Practice address
100 S High Street
Newville, PA 17241-1409
Phone
(717) 776-3114
Fax
(717) 776-5020
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN739217 PA
Family Nurse Practitioner 363LF0000X SP029152 PA Primary

Addresses

Primary practice location

100 S High Street
Newville, PA 17241-1409

Mailing address

100 S High Street
Newville, PA 17241-1409
Phone (717) 776-3114

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 S High St
Newville, PA 17241-1409

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN739217PAMDRegistered Nurse
SP029152PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Medical Clinic,P.C. CurrentSince Jan 23, 2024 Accepting new patients
RQ Medical Group Ca PC Current Accepting new patients

Locations

19 Brookwood Ave
Ste 104
Carlisle, PA 17015
Phone (717) 243-9010

100 S High St
Newville, PA 17241
Phone (717) 776-3114

Organizations & group practices 2

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 4

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1386411098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S HIGH STREET",
            "city": "NEWVILLE",
            "state": "PA",
            "postal_code": "172411409",
            "telephone_number": "717-776-3114",
            "fax_number": "717-776-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S HIGH STREET",
            "city": "NEWVILLE",
            "state": "PA",
            "postal_code": "172411409",
            "telephone_number": "717-776-3114",
            "fax_number": "717-776-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEIRA",
        "first_name": "ASHLYN",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN739217",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newville, PA

Sources for this page

Verify at the official NPI Registry.