Jacquelyn M Madson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

10454-033 Issued in WI

Practice address

2205 N Calhoun Rd
Brookfield, WI 53005-5062

Phone

(414) 550-3371

NPI assigned

Oct 8, 2020

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: jmadson200872@direct.myadvocateaurora.org
• Direct secure messaging: ms_jmadson2@landmarkhealth-direct.org

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1497352751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "414-389-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N CALHOUN RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055062",
            "telephone_number": "414-550-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 west capitol dr",
            "address_purpose": "LOCATION",
            "city": "wauwatosa",
            "state": "WI",
            "postal_code": "53222",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADSON",
        "first_name": "JACQUELYN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2022-01-04",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10454-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2205 N Calhoun Rd",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530055062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmadson200872@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "2205 N Calhoun Rd",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530055062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley E Maas, APSW
• Diane Maasz, PTA
• Jane Heun Mack, PT
• McKenzie Marie Madden, FNP
• Angelyna Michelle Madrid
• Bonnidene Marie Maglio, LPTA
• Justin M Magnuson, P.T., D.P.T.
• Kate Bachausen Magnuson, MSW, LCSW
• Joseph Maier, MD
• Katheryn Maier, PTA

• Nurse Practitioner in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.