Madelyn Collum, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-158214 Issued in AL

Practice address

6701 Airport Blvd Ste B329
Mobile, AL 36608-6756

Phone

(251) 660-3510

NPI assigned

Jul 20, 2021

Last updated

Sep 30, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: madelyn.collum.1@16253.direct.athenahealth.com

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.

• USA Health Community Providers LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1801571823
  Medicare reassignment Care Compare group NPD
• Alabama Providence Healthcare Services

  dba Providence Medical Group

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1245669514
  Medicare reassignment NPD
• Alabama Providence Healthcare Services

  dba Ascension Providence Diabetes Management Program

  • Endocrinology, Diabetes & Metabolism Physician
  • Mobile, AL
  • NPI 1609446087
  NPD
• Providence Healthcare Services

  dba Providence Medical Group

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508878083
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• USA Health HCA Providence Hospital LLC

  dba USA Health Providence Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1992489223
  Care Compare affiliation

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1629641519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 BENNINGTON DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366952677",
            "telephone_number": "251-209-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE B329",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086756",
            "telephone_number": "251-660-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLUM",
        "first_name": "MADELYN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-158214",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-158214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Timothy Collins, DO
• Morgan Collins, DMD
• Robin R. Collins, C.F.N.P.
• Sarah Ann Collins, C.D.A.
• Stephanie Collins
• Chynna Rozette Colmenares
• Whitney Colombo, APRN
• Colon & Rectal Surgery Clinic, P. C.
• Erynn Colquitt-Bracey
• Derek Jerome Colston, PHARM D.

• Acute Care Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.