Individual provider Active NPI

Madelyn Kate Myers, PA-C

  • Physician Assistant
  • Lewis Center, OH
National Provider Identifier
1578373155
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.009221RX Issued in OH
Practice address
7100 Graphics Way Ste 3000
Lewis Center, OH 43035-0209
Phone
(740) 326-4831
NPI assigned
Jan 7, 2025
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.009221RX OH Primary

Addresses

Primary practice location

7100 Graphics Way Ste 3000
Lewis Center, OH 43035-0209

Mailing address

2165 Acadia Trail Dr Apt 108
Columbus, OH 43228-3966
Phone (740) 833-5419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324000636 OH Practitioner - Physician Assistant 5698297299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Dermatology LTDGroup PAC ID 9335388925, 6 clinicians

Practice addresses (Care Compare)

1650 Coshocton Ave E
Mount Vernon, OH 43050-1548
Phone (740) 313-0474

425 Metro N PL
Suite 195
Dublin, OH 43017-5361
Phone (614) 602-6455

7100 Graphics Way
Suite 3000
Lewis Center, OH 43035-0209
Phone (740) 481-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.009221RXOHMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: madelynm@healingveins.emadirect.md

Organizations & group practices 1

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 1

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": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1578373155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 ACADIA TRAIL DR APT 108",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283966",
            "telephone_number": "740-833-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY STE 3000",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430350209",
            "telephone_number": "740-326-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MADELYN",
        "middle_name": "KATE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009221RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

Verify at the official NPI Registry.