Individual provider Active NPI

Madison Penney

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1851104285
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1189549 Issued in TX
Practice address
6 Burnside
Wichita Falls, TX 76310-1128
Phone
(940) 723-8151
Fax
(940) 723-8815
NPI assigned
Jan 29, 2025
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1189549 TX Primary

Addresses

Primary practice location

6 Burnside
Wichita Falls, TX 76310-1128

Mailing address

6 Burnside
Wichita Falls, TX 76310-1128
Phone (940) 723-8151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250529001911 TX Practitioner - Nurse Practitioner 6901325232 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Womens Clinic P.a. CurrentSince Mar 21, 2025 Accepting new patients
Clinics of North Texas LLP Current Accepting new patients
Clinics of North Texas LLP CurrentSince Nov 17, 2025 Accepting new patients

Locations

501 Midwestern Pkwy E
Wichita Falls, TX 76302
Phone (940) 766-3551

6 Burnside
Wichita Falls, TX 76310
Phone (940) 723-8151

Interoperability endpoints

  • Direct secure messaging: madisonpenney@cntllp.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1851104285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BURNSIDE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101128",
            "telephone_number": "940-723-8151",
            "fax_number": "940-723-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BURNSIDE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101128",
            "telephone_number": "940-723-8151",
            "fax_number": "940-723-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNEY",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1189549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.