Individual provider Active NPI

Madalyn Marie Carlin, NP

  • Women's Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1821630658
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
6792 Issued in MN
Practice address
671 Vandalia St
Saint Paul, MN 55114-1312
Phone
(651) 696-5544
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 6792 MN Primary

Addresses

Primary practice location

671 Vandalia St
Saint Paul, MN 55114-1312

Mailing address

3529 Couchtown Path
Rosemount, MN 55068-4729
Phone (651) 263-9821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20210227000153 MN Practitioner - Nurse Practitioner 2961817846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Minnesota Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

4100 Minnesota Dr
Edina, MN 55435-5417
Phone (952) 456-7000

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6792MNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Dec 3, 2020 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jul 6, 2021 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jul 6, 2021 Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients

Locations

15322 Galaxie Ave
Ste 105
Apple Valley, MN 55124
Phone (952) 890-0940

4100 Minnesota Dr
Edina, MN 55435
Phone (952) 456-7000

9550 Upland Ln N
Ste 230
Maple Grove, MN 55369
Phone 7632553400 ext. 7073

6405 France Ave S
Ste W400
Minneapolis, MN 55435
Phone (952) 920-2730

4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1821630658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 COUCHTOWN PATH",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684729",
            "telephone_number": "651-263-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "651-696-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "MADALYN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "6792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.