Individual provider Active NPI

Cheyenne Therese Madorin, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1801495999
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
10478 Issued in WI
Practice address
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone
(715) 839-9280
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 235886 WI
Nurse Practitioner 363L00000X 10478-33 WI
Gerontology Nurse Practitioner 363LG0600X 10478 WI Primary

Addresses

Primary practice location

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016

Mailing address

2403 Folsom St
Eau Claire, WI 54703-2435
Phone (715) 552-9784

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmadorin301565@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20210123000131 WI Practitioner - Nurse Practitioner 4183038656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians

Practice addresses (Care Compare)

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone (715) 839-9280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
235886WIMDRegistered Nurse
10478-33WIMDNurse Practitioner
10478WIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Clinics Inc Nurse Practitioner CurrentSince Dec 1, 2020 Accepting new patients
Oakleaf Clinics SC Nurse Practitioner CurrentSince Dec 1, 2020 Accepting new patients

Locations

855 Lakeland Dr
Chippewa Falls, WI 54729
Phone (715) 309-4451

2403 Folsom St
Eau Claire, WI 54703

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

Interoperability endpoints

  • Direct secure messaging: cmadorin29824@oakleafmed.gardenplot.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1801495999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032435",
            "telephone_number": "715-552-9784",
            "fax_number": "715-835-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 OAKWOOD MALL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013016",
            "telephone_number": "715-839-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADORIN",
        "first_name": "CHEYENNE",
        "middle_name": "THERESE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "235886",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10478-33",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "10478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmadorin301565@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "900 W Clairemont Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.