Individual provider Active NPI

Madison Dean, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1689416794
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110011758 Issued in VA
Practice address
7725 N 43Rd Ave Ste 510
Phoenix, AZ 85051-5771
Phone
(623) 207-5465
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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 0110011758 VA Primary

Addresses

Primary practice location

7725 N 43Rd Ave Ste 510
Phoenix, AZ 85051-5771

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 628-4327

Other practice location 2

417 N 11th St
Richmond, VA 23298-5024
Phone (804) 628-4327

Other practice location 3

6605 E broad st
richmond, VA 23230
Phone (804) 628-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240808002861 AZ Practitioner - Physician Assistant 2163969080 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
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

3151 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 458-7583

7725 N 43Rd Ave
Suite 510
Phoenix, AZ 85051-5771
Phone (623) 207-5465

8914 N 91St Ave
Suite 100
Peoria, AZ 85345-8390
Phone (623) 877-0100

9171 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-4872
Phone (623) 815-7800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Medical Associates PLLC PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1689416794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 N 43RD AVE STE 510",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515771",
            "telephone_number": "623-207-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Stony Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351900",
            "country_code": "US",
            "telephone_number": "804-628-4327",
            "fax_number": "804-998-1255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985024",
            "country_code": "US",
            "telephone_number": "804-628-4327",
            "fax_number": "804-593-4276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6605 E broad st",
            "address_purpose": "LOCATION",
            "city": "richmond",
            "state": "VA",
            "postal_code": "23230",
            "country_code": "US",
            "telephone_number": "804-628-4327",
            "fax_number": "804-956-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "MADISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.