Individual provider Active NPI

Madeleine Wentzel, DNP, APNP, CNM, FNP

  • Advanced Practice Midwife
  • Madison, WI
National Provider Identifier
1720579287
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
148932 Issued in WI
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

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, VT5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20241031002942 IA Practitioner - Nurse Practitioner 0941733703 Reassigns benefits to 1 organization
I20241031003061 IL Practitioner - Nurse Practitioner 0941733703 Reassigns benefits to 1 organization
I20241031003394 WI Practitioner - Nurse Practitioner 0941733703 Reassigns benefits to 1 organization
I20260107000749 KY Practitioner - Nurse Practitioner 0941733703 Reassigns benefits to 1 organization
I20260115000241 VT Practitioner - Nurse Practitioner 0941733703 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
209.028531ILMDNurse Practitioner
7602-33WIMDNurse Practitioner
148932WIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 25, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Dec 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.