Individual provider Active NPI

Madison Deile

  • Medical Physician Assistant
  • Wishek, ND
National Provider Identifier
1710709100
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PAC1122 Issued in ND
Practice address
1007 4TH Ave S
Wishek, ND 58495-7527
Phone
(701) 452-2326
NPI assigned
Oct 28, 2024
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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 PAC1122 ND Primary

Addresses

Primary practice location

1007 4TH Ave S
Wishek, ND 58495-7527

Mailing address

1007 4TH Ave S
Wishek, ND 58495-7527

Other names 1

  • Madison Holm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20241224000808 ND Practitioner - Physician Assistant 4587191952 Reassigns benefits to 2 organizations

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
Wishek Hospital-Clinic AssociationGroup PAC ID 8022920958, shared by 5 NPIs, 17 clinicians

Practice addresses (Care Compare)

1015 4TH Ave S
Wishek, ND 58495-0647

1015 4TH Ave S
Wishek, ND 58495-7527
Phone (701) 452-2364

PO Box
Suite 647
Wishek, ND 58495

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wishek Hospital-Clinic Association CurrentSince Oct 13, 2025 Accepting new patients
Wishek Hospital-Clinic Association CurrentSince Nov 1, 2024 Accepting new patients
Wishek Hospital-Clinic Association CurrentSince Nov 1, 2024 Accepting new patients
Wishek Hospital-Clinic Association Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1710709100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 4TH AVE S",
            "city": "WISHEK",
            "state": "ND",
            "postal_code": "584957527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 4TH AVE S",
            "city": "WISHEK",
            "state": "ND",
            "postal_code": "584957527",
            "telephone_number": "701-452-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEILE",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ND",
            "license": "PAC1122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "HOLM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wishek, ND

Sources for this page

Verify at the official NPI Registry.