Active NPI
Madeleine Wentzel, DNP, APNP, CNM, FNP
- Advanced Practice Midwife
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 148932
- Practice address
- 2222 S Park St Ste 210
Madison, WI 53713 - Phone
- (608) 251-6546
- NPI assigned
- May 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7602-33 | WI | |
| Nurse Practitioner | 363L00000X | 209.028531 | IL | |
| Advanced Practice Midwife | 367A00000X | 148932 | WI | Primary |
Addresses
Primary practice location
2222 S Park St Ste 210
Madison, WI 53713
Mailing address
2222 S Park St Ste 210
Madison, WI 53713-2168
Phone (608) 251-6546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL, WI, KY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Dallas, TX 75244-4910
4055 Valley View LN
Dallas, TX 75244-5074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.028531 | IL | MD | Nurse Practitioner |
| 7602-33 | WI | MD | Nurse Practitioner |
| 148932 | WI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Planned Parenthood of Wisconsin | Past | Accepting new patients | |
| Planned Parenthood of Wisconsin | Past | Accepting new patients | |
| Planned Parenthood of Wisconsin | Past | Accepting new patients |
Locations
400 E Court Ave
Ste 110
Des Moines, IA 50309
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
145 Pine Haven Shores Rd
Shelburne, VT 05482
Phone (802) 316-4135
811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420
Interoperability endpoints
- madeleine.wentzel.p1@direct.ppwi.nextgenshare.com
Organizations & group practices 5
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.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
IA, IL, Nurse Practitioner, WI
-
- Ambulatory Family Planning Facility
- West Allis, WI
- NPI 1346414158
-
- Ambulatory Family Planning Facility
- Milwaukee, WI
- NPI 1407021900
-
- Ambulatory Family Planning Facility
- Madison, WI
- NPI 1467626085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1720579287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S PARK ST STE 210",
"city": "MADISON",
"state": "WI",
"postal_code": "537132168",
"telephone_number": "608-251-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S PARK ST STE 210",
"city": "MADISON",
"state": "WI",
"postal_code": "53713",
"telephone_number": "608-251-6546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTZEL",
"first_name": "MADELEINE",
"credential": "DNP, APNP, CNM, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "7602-33",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.028531",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WI",
"license": "148932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.