Individual provider Active NPI

Heather Madsen, CRNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1881149474
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012324 Issued in CA
Practice address
7488 Calzada de la Fuente
San Diego, CA 92154-2717
Phone
(619) 661-3823
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016589 PA
Family Nurse Practitioner 363LF0000X 95012324 CA Primary
Family Nurse Practitioner 363LF0000X SP016589 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RNP256512 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP025044 PA
Registered Nurse 163W00000X 95195579 CA
Registered Nurse 163W00000X RN612893 PA
Registered Nurse 163W00000X RN256512 AZ

Addresses

Primary practice location

7488 Calzada de la Fuente
San Diego, CA 92154-2717

Mailing address

18 S 9TH St Ste 107
Stroudsburg, PA 18360-1630
Phone (855) 461-3061

Other identifiers 1

IdentifierTypeStateIssuer
103223343MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170120001962 PA Practitioner - Nurse Practitioner 5698057966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Finding Peace Psychiatry PLLCGroup PAC ID 2062807407, 2 clinicians

Practice addresses (Care Compare)

18 S 9TH St
Suite 107
Stroudsburg, PA 18360-1630
Phone (855) 461-3061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN256512AZMDRegistered Nurse
RN612893PAMDRegistered Nurse
95012324CAMDFamily Nurse Practitioner
RNP256512AZMDPsychiatric/Mental Health Nurse Practitioner
SP025044PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Behavioral Health Services PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
Brightside Medical, P.C. CurrentSince Jul 1, 2023 Accepting new patients
Finding Peace Psychiatry, PLLC Family CurrentSince Feb 16, 2022 Accepting new patients
Pinnacle Health Emergency Department Services LLC Nurse Practitioner CurrentSince Jul 26, 2017 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

4203 Union Deposit Rd
Harrisburg, PA 17111
Phone (223) 797-7187

150 S Warner Rd
Ste 130
Kng of Prussa, PA 19406
Phone (610) 400-4885

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

18 S 9th St
Ste 107
Stroudsburg, PA 18360
Phone (570) 213-9133

814 Monroe St
Ste 201
Stroudsburg, PA 18360
Phone (570) 213-9133

134 Broad St
Ste 8
Stroudsburg, PA 18360
Phone (855) 461-3061

Interoperability endpoints

  • Direct secure messaging: hmadsen@landmarkhealth-direct.org

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1881149474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S 9TH ST STE 107",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601630",
            "telephone_number": "855-461-3061",
            "fax_number": "215-709-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7488 CALZADA DE LA FUENTE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542717",
            "telephone_number": "619-661-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "HEATHER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016589",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012324",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016589",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP256512",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP025044",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95195579",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN612893",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN256512",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103223343",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.