Individual provider Active NPI

Melissa Maduell, PA-C

  • Medical Physician Assistant
  • Clovis, CA
National Provider Identifier
1629571740
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2755 Herndon Ave
Clovis, CA 93611-6800
Phone
(559) 324-4000
NPI assigned
Mar 15, 2018
Last updated
May 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

2755 Herndon Ave
Clovis, CA 93611-6800

Mailing address

729 N Medical Center Dr W Ste 101
Clovis, CA 93611-6880
Phone (916) 599-8492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180411003082 CA Practitioner - Physician Assistant 3971866526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2335 E Kashian LN
Fresno, CA 93701-2234

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 228-4327

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jun 25, 2018 Accepting new patients
Community Foundation Medical Group CurrentSince Jun 25, 2018 Accepting new patients
Cep America-California CurrentSince Apr 1, 2018 Accepting new patients
Cep America - California CurrentSince Apr 1, 2018 Accepting new patients
Community Foundation Medical Group Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

729 N Medical Center Dr W
Ste 101
Clovis, CA 93611
Phone (559) 439-7631

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

Interoperability endpoints

  • Direct secure messaging: mmaduell2714438@direct.trinity-health.org

Organizations & group practices 6

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": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1629571740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N MEDICAL CENTER DR W STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116880",
            "telephone_number": "916-599-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 HERNDON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116800",
            "telephone_number": "559-324-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUELL",
        "first_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.