Individual provider Active NPI

Mary Ellen Madsen, PA

  • Physician Assistant
  • East Greenwich, RI
National Provider Identifier
1861556433
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00106 Issued in RI
Practice address
1285 S County TRL
East Greenwich, RI 02818-1620
Phone
(401) 886-0902
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 PA00106 RI Primary

Addresses

Primary practice location

1285 S County TRL
East Greenwich, RI 02818-1620

Mailing address

1285 S County TRL
East Greenwich, RI 02818-1620
Phone (401) 886-0902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20070313000617 RI Practitioner - Physician Assistant 7214954643 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Rhode Island LLCGroup PAC ID 8224350863, 25 clinicians

Practice addresses (Care Compare)

1054 Cass Ave
Woonsocket, RI 02895-4935
Phone (866) 389-2727

11 Main St
Wakefield, RI 02879-3562
Phone (866) 389-2727

1285 S County TRL
East Greenwich, RI 02818-1620
Phone (866) 389-2727

681 Reservoir Ave
Cranston, RI 02910-3220
Phone (866) 389-2727

799 Hope St
Providence, RI 02906-3635
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers of Rhode Island PC Physician Assistant PastSince Apr 3, 2023 Accepting new patients
Frank Michael D'Alessandro, MD Inc PastSince Aug 1, 2011 Accepting new patients
Hope Medical Group PastSince Apr 1, 2013 Accepting new patients

Organizations & group practices 8

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1861556433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181620",
            "telephone_number": "401-886-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181620",
            "telephone_number": "401-886-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "MARY ELLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.