Individual provider Active NPI

Jill L Madden, PA-C

  • Physician Assistant
  • Loysburg, PA
National Provider Identifier
1720048960
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050983 Issued in PA
Practice address
2230 Woodbury Pike
Suite 2
Loysburg, PA 16659-9506
Phone
(814) 766-3485
Fax
(814) 766-2379
NPI assigned
Mar 23, 2006
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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 MA050983 PA Primary

Addresses

Primary practice location

2230 Woodbury Pike
Suite 2
Loysburg, PA 16659-9506

Mailing address

116 Quince CT
Hollidaysburg, PA 16648-3214
Phone (814) 931-5815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040312000487 PA Practitioner - Physician Assistant 3577452036 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Medical Associates Current Accepting new patients
Central Pennsylvania Asthma and Allergy Care, LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1414 8th Ave
Altoona, PA 16602
Phone (814) 684-0846

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1720048960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 QUINCE CT",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166483214",
            "telephone_number": "814-931-5815",
            "fax_number": "814-224-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 WOODBURY PIKE",
            "address_2": "SUITE 2",
            "city": "LOYSBURG",
            "state": "PA",
            "postal_code": "166599506",
            "telephone_number": "814-766-3485",
            "fax_number": "814-766-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "JILL",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loysburg, PA

Sources for this page

Verify at the official NPI Registry.