Individual provider Active NPI

Madeline Patricia Myrtetus, PA-C

  • Physician Assistant
  • Doylestown, PA
National Provider Identifier
1902590953
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3747 E Brandon Way
Doylestown, PA 18902-6223
Phone
(267) 614-0900
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 Primary

Addresses

Primary practice location

3747 E Brandon Way
Doylestown, PA 18902-6223

Mailing address

3747 E Brandon Way
Doylestown, PA 18902-6223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231129002749 NY Practitioner - Physician Assistant 1850749995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen J Nicholas MD PCGroup PAC ID 0446264931, 28 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2000

159 E 74 St
New York, NY 10021-3235
Phone (212) 737-3301

161 Atlantic Ave
Brooklyn, NY 11201-6792
Phone (212) 737-3301

2 Overhill Rd
Suite 310
Scarsdale, NY 10583-5316
Phone (914) 725-6970

200 W 13TH St
Ofc 6
New York, NY 10011-7702
Phone (212) 737-3301

200 W 13TH St ASC
4TH FL
New York, NY 10011-7702
Phone (646) 665-6700

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Merit-based Incentive Payment System (MIPS)

Final score
81.27 of 100Reported as group
Quality
66.64
Promoting interoperability
100
Improvement activities
40
Cost
70.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Nicholas MD PC CurrentSince Dec 1, 2023 Accepting new patients
Stephen J Nicholas MD PC CurrentSince Dec 1, 2023 Accepting new patients

Locations

161 Atlantic Ave
Brooklyn, NY 11201
Phone (718) 802-0400

159 E 74th St
Fl 2
New York, NY 10021
Phone (212) 249-7790

80 Maiden Ln
Rm 703
New York, NY 10038
Phone (212) 385-2400

200 W 13th St
Fl 6
New York, NY 10011
Phone (646) 665-6784

159 E 74th St
New York, NY 10021
Phone (212) 439-9302

2 Overhill Rd
Scarsdale, NY 10583
Phone (212) 506-0236

2 Overhill Rd
Ste 330
Scarsdale, NY 10583
Phone (914) 725-1800

2 Overhill Rd
Ste 310
Scarsdale, NY 10583
Phone (914) 725-6970

Interoperability endpoints

  • Direct secure messaging: mmyrtetus60923@northwell.direct-ci.com
  • Direct secure messaging: madeline.myrtetus.1@11998.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1902590953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 E BRANDON WAY",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 E BRANDON WAY",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026223",
            "telephone_number": "267-614-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRTETUS",
        "first_name": "MADELINE",
        "middle_name": "PATRICIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.