Individual provider Active NPI

Madisyn Brielle Turner

  • Physician Assistant
  • Ellenton, FL
National Provider Identifier
1760144513
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114590 Issued in FL
Practice address
7915 US Highway 301 N Ste 103
Ellenton, FL 34222-3532
Phone
(941) 479-4999
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 PA9114590 FL Primary

Addresses

Primary practice location

7915 US Highway 301 N Ste 103
Ellenton, FL 34222-3532

Mailing address

3410 71St St E
Palmetto, FL 34221-1678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220224002791 FL Practitioner - Physician Assistant 0345634960 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Pain and Spine LLC CurrentSince Mar 22, 2022 Accepting new patients

Locations

2310 North Blvd W
Ste A
Davenport, FL 33837
Phone (863) 732-7246

1417 Lakeland Hills Blvd
Ste 201
Lakeland, FL 33805
Phone (833) 513-7246

771 Cypress Village Blvd
Sun City Ctr, FL 33573
Phone (813) 333-5080

326 S 6th Ave
Wauchula, FL 33873

26851 Tanic Dr
Ste 102
Wesley Chapel, FL 33544
Phone (727) 203-5073

400 Avenue K SE
Ste 9
Winter Haven, FL 33880
Phone (863) 291-6313

Organizations & group practices 2

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": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1760144513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 71ST ST E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 US HIGHWAY 301 N STE 103",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223532",
            "telephone_number": "941-479-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "MADISYN",
        "middle_name": "BRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenton, FL

Sources for this page

Verify at the official NPI Registry.