NPIMap

Individual provider Active NPI

Matthew Thomas Madden, NP

  • Nurse Practitioner
  • Plains, MT
National Provider Identifier
1417424854
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NUR-APRN-LIC-132683 Issued in MT
Practice address
10 Kruger Road
Plains, MT 59859
Phone
(406) 826-4800
NPI assigned
Oct 24, 2018
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NUR-APRN-LIC-132683 MT Primary

Addresses

Primary practice location

10 Kruger Road
Plains, MT 59859

Mailing address

11 Sully LN
Plains, MT 59859-9279
Phone (406) 214-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190828001585 MT Practitioner - Nurse Practitioner 5890023808 Reassigns benefits to 2 organizations
I20221010001911 TX Practitioner - Nurse Practitioner 5890023808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7300 Klawock Hollis Hwy
Klawock, AK 99925-7891
Phone (907) 755-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-132683MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Missoula Community Health Services, Inc CurrentSince Dec 29, 2019 Accepting new patients
Missoula Community Health Services, Inc. CurrentSince Dec 29, 2019 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 13, 2022 Accepting new patients
Missoula Community Health Services, Inc Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 13, 2022 Accepting new patients
Missoula Community Health Services, Inc. Current Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

1208 6th Ave
Superior, MT 59872
Phone (406) 683-3401

Interoperability endpoints

  • Direct secure messaging: mmadden@direct-searhc.org

Organizations & group practices 8

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 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1417424854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SULLY LN",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598599279",
            "telephone_number": "406-214-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KRUGER ROAD",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "59859",
            "telephone_number": "406-826-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "NUR-APRN-LIC-132683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, MT

Sources for this page

Verify at the official NPI Registry.