Individual provider Active NPI

Madelynn Davis

  • Medical Physician Assistant
  • Conifer, CO
National Provider Identifier
1396659702
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410
Phone
(720) 722-3961
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 NU Primary

Addresses

Primary practice location

12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410

Mailing address

12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410
Phone (720) 722-3961

Other practice location 1

288 Main St Unit 7
Bailey, CO 80421-5014
Phone (720) 722-3961

Other practice location 2

970 Castello Ave.
Fairplay, CO 80440
Phone (720) 722-3961

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1396659702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 BIG TIMBER DR UNIT 3",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804336410",
            "telephone_number": "720-722-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 BIG TIMBER DR UNIT 3",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804336410",
            "telephone_number": "720-722-3961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 Main St Unit 7",
            "address_purpose": "LOCATION",
            "city": "Bailey",
            "state": "CO",
            "postal_code": "804215014",
            "country_code": "US",
            "telephone_number": "720-722-3961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 Castello Ave.",
            "address_purpose": "LOCATION",
            "city": "Fairplay",
            "state": "CO",
            "postal_code": "80440",
            "country_code": "US",
            "telephone_number": "720-722-3961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MADELYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.