Individual provider Active NPI

Jordan John Madden, DNP, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hudson, WI
National Provider Identifier
1699323733
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9354 Issued in MN
Practice address
642 Brakke Dr Ste 105
Hudson, WI 54016-7904
Phone
(715) 402-4562
NPI assigned
Sep 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 13870-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13870-33 WI
Nurse Practitioner 363L00000X 9354 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9354 MN Primary
Registered Nurse 163W00000X 2465330 MN
Registered Nurse 163W00000X 256951-30 WI

Addresses

Primary practice location

642 Brakke Dr Ste 105
Hudson, WI 54016-7904

Mailing address

3154 Glasgow St
River Falls, WI 54022-0010
Phone (715) 222-9032

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmadden@prairie-care.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221005000649 MN Practitioner - Nurse Practitioner 1951787514 Reassigns benefits to 2 organizations
I20240126000337 WI Practitioner - Nurse Practitioner 1951787514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

642 Brakke Dr
Suite 105
Hudson, WI 54016-7904
Phone (715) 402-4562

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2465330MNMDRegistered Nurse
256951-30WIMDRegistered Nurse
13870-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calming Currents Mental Health LLC Psychiatric/Mental Health CurrentSince Feb 1, 2024 Accepting new patients
St. Croix Psychiatric, LLC CurrentSince Sep 12, 2022 Accepting new patients
Danielle Golden, Crna, PA CurrentSince Jun 26, 2023 Accepting new patients
Daulton Physical Therapy, LLC PastSince Jun 1, 2024 Accepting new patients

Locations

9400 Zane Ave N
Minneapolis, MN 55443
Phone (763) 383-5800

3555 Willow Lake Blvd
Ste 290
Vadnais Heights, MN 55110

3640 Talmage Cir
Ste 216
Vadnais Hts, MN 55110
Phone (651) 379-4006

659 Bielenberg Dr
Woodbury, MN 55125
Phone (651) 259-9700

1810 Crest View Dr
Ste 6A
Hudson, WI 54016
Phone (715) 222-9032

642 Brakke Dr
Ste 105
Hudson, WI 54016
Phone (715) 402-4562

1600 Maxwell Dr
Ste 7
Hudson, WI 54016
Phone (844) 328-5866

Interoperability endpoints

  • Direct secure messaging: theremedy.jordanmadden@154672.advancedmd-direct.com

Organizations & group practices 4

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": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1699323733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 GLASGOW ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540220010",
            "telephone_number": "715-222-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 BRAKKE DR STE 105",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167904",
            "telephone_number": "715-402-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "JORDAN",
        "middle_name": "JOHN",
        "credential": "DNP, CNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "13870-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "13870-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "9354",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9354",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2465330",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "256951-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmadden@prairie-care.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "659 Bielenberg Dr",
            "city": "Woodbury",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551251706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.