Individual provider Active NPI

Madalyn Muldoon

  • Certified Registered Nurse Anesthetist
  • Fargo, ND
National Provider Identifier
1558895664
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
113448 Issued in ND
Practice address
1720 University Dr S
Fargo, ND 58103-4940
Phone
(701) 234-2000
Fax
(701) 234-4938
NPI assigned
Apr 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 113448 ND Primary

Addresses

Primary practice location

1720 University Dr S
Fargo, ND 58103-4940

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

3701 12th St N Ste 202
Saint Cloud, MN 56303-2253
Phone (701) 400-1196

Other practice location 2

2301 25th St S Ste K
Fargo, ND 58103
Phone (701) 234-1728

Other practice location 3

PO Box 5010
Minot, ND 58702-5010
Phone (701) 418-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170821003572 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345527024 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Trinity HealthGroup PAC ID 7911816020, 292 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

1720 University Dr S
Fargo, ND 58103-4940
Phone (701) 234-2000

2305 37TH Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

300 N 7TH St
Bismarck, ND 58501-4439
Phone (701) 323-6000

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
113448NDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health LLC CurrentSince Nov 4, 2024 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Plains Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2017 Accepting new patients
Cssa, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 11, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 11, 2022 Accepting new patients
Innovis Health, LLC CurrentSince Nov 4, 2024 Accepting new patients
Valley Anesthesia Associates PC Nurse Anesthetist, Certified Registered PastSince Jul 1, 1997 Accepting new patients

Locations

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

400 10th St E
Waconia, MN 55387

1720 University Dr S
Fargo, ND 58103
Phone (701) 280-4140

2301 25th St S
Ste K
Fargo, ND 58103
Phone (701) 234-1728

1720 University Dr S
#1707
Fargo, ND 58103
Phone (701) 234-1728

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

350 23rd Ave E
Ste 201
West Fargo, ND 58078
Phone (701) 356-4770

Organizations & group practices 10

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 7

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": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1558895664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940",
            "telephone_number": "701-234-2000",
            "fax_number": "701-234-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 12th St N Ste 202",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563032253",
            "country_code": "US",
            "telephone_number": "701-400-1196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 25th St S Ste K",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "58103",
            "country_code": "US",
            "telephone_number": "701-234-1728",
            "fax_number": "701-234-1681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 5010",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587025010",
            "country_code": "US",
            "telephone_number": "701-418-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULDOON",
        "first_name": "MADALYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "113448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.