Madison Healthcare and Wellness Ctr. PC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

MADISON HEALTHCARE AND WELLNESS CTR. PC

Practice address

220 Clifty Dr Ste J
Madison, IN 47250-1669

Phone

(812) 274-0713

Fax

(812) 205-2970

NPI assigned

Dec 22, 2020

Last updated

Dec 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Maria Smith, NPNPI 1013319367

Title

Nurse Practitioner

Phone

(812) 274-0713

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Smith

  • Primary Care Nurse Practitioner
  • Madison, IN
  • NPI 1013319367
  NPD Authorized official
• Rhomonda Scifres, FNP-C

  • Family Nurse Practitioner
  • North Vernon, IN
  • NPI 1053137455

  Primary Care

  NPD (past)

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1891382057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CLIFTY DR STE J",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501669",
            "telephone_number": "812-274-0713",
            "fax_number": "812-205-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CLIFTY DR STE J",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501669",
            "telephone_number": "812-274-0713",
            "fax_number": "812-205-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HEALTHCARE AND WELLNESS CTR. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "812-274-0713",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Consolidated School
• Madison Dermatology LLC
• Madison Direct Health
• Madison Eye Center LLC
• Madison Family Dentistry
• Madison Hearing Health, LLC
• Madison Orthopedic Rehab
• Madison Pediatric Wellness Center
• Madison Specialty Center, LLC (George L Alcorn, M.D.)
• Sarah Leanne Mahoney, APRN

• Primary Care Nurse Practitioner in Madison, IN
• Providers in Madison, IN by specialty
• Primary Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.