Individual provider Active NPI

Madeline A McNally, M.D.

  • Diagnostic Radiology Physician
  • Green Bay, WI
National Provider Identifier
1457517195
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
54088 Issued in WI
Practice address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone
(920) 499-1428
Fax
(920) 499-7080
NPI assigned
Aug 1, 2008
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 54088 WI Primary

Addresses

Primary practice location

744 S Webster Ave
Green Bay, WI 54301-3505

Mailing address

1789 Shawano Ave
Green Bay, WI 54303-3243
Phone (920) 499-1428

Other identifiers 1

IdentifierTypeStateIssuer
100029010MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130501000217 WI Practitioner - Diagnostic Radiology 0648417105 Reassigns benefits to 4 organizations
I20251119001035 MI Practitioner - Diagnostic Radiology 0648417105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology CharteredGroup PAC ID 1557394988, 39 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

Marquette, MI 49855
Phone (920) 499-2766

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1789 Shawano Ave
Green Bay, WI 54303-3243
Phone (920) 499-1428

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 646-5410

709 Spring Valley Rd
Burlington, WI 53105-7614
Phone (262) 767-6020

8400 Washington Ave
Mount Pleasant, WI 53406-3735
Phone (262) 321-3000

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 329-5930

9000 W Sura LN
Greenfield, WI 53228-3477
Phone (414) 246-6800

9200 W Loomis Rd
Franklin, WI 53132-8887
Phone (414) 529-9200

945 N 12TH St
Milwaukee, WI 53233-1305
Phone (414) 219-7300

975 Port Washington Rd
Grafton, WI 53024-9204
Phone (262) 329-8650

W231 N1440 Corporate Court
Waukesha, WI 53186-1303
Phone (262) 896-6070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54088WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC CurrentSince May 6, 2019 Accepting new patients
Baycare Aurora, LLC CurrentSince May 6, 2019 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince May 6, 2019 Accepting new patients
Aurora Medical Group, Inc. CurrentSince May 6, 2019 Accepting new patients
Aurora Medical Group, Inc. Diagnostic Radiology CurrentSince May 6, 2019 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince May 6, 2019 Accepting new patients
Radiology Chartered Diagnostic Radiology CurrentSince Nov 4, 2025 Accepting new patients
Orthopedic Surgeons of Wisconsin, S.C. Past Accepting new patients

Locations

112 N US Highway 141
Crivitz, WI 54114
Phone (715) 735-6621

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

1789 Shawano Ave
Green Bay, WI 54303
Phone (920) 494-2310

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

3003 University Dr
Marinette, WI 54143
Phone (715) 732-8200

4061 Old Peshtigo Rd
Marinette, WI 54143
Phone (715) 732-8000

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

5818 W Capitol Dr
Milwaukee, WI 53216
Phone (414) 447-8071

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

Interoperability endpoints

  • Direct secure messaging: mmcnally226972@direct.myadvocateaurora.org

Organizations & group practices 9

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 6

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1457517195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 SHAWANO AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033243",
            "telephone_number": "920-499-1428",
            "fax_number": "920-499-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-499-1428",
            "fax_number": "920-499-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "MADELINE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "54088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100029010",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.