Individual provider Active NPI

Madyson Maya Whitcher

  • Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1902613359
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10107 Ridgegate Pkwy Ste 120
Lone Tree, CO 80124-5640
Phone
(303) 955-7574
Fax
(720) 242-9307
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

10107 Ridgegate Pkwy Ste 120
Lone Tree, CO 80124-5640

Mailing address

10107 Ridgegate Pkwy Ste 120
Lone Tree, CO 80124-5640
Phone (303) 955-7574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260608000302 CO Practitioner - Physician Assistant 7012488430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services-Surgical Specialties LLC CurrentSince Jun 15, 2026 Accepting new patients
Healthone Clinic Services-Surgical Specialties LLC CurrentSince Jun 15, 2026 Accepting new patients

Locations

8401 S Chambers Rd
Greenwood Village, CO 80112
Phone (303) 373-2008

10107 Ridgegate Pkwy
Ste 120
Lone Tree, CO 80124

Organizations & group practices 2

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": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1902613359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10107 RIDGEGATE PKWY STE 120",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245640",
            "telephone_number": "303-955-7574",
            "fax_number": "720-242-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 RIDGEGATE PKWY STE 120",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245640",
            "telephone_number": "303-955-7574",
            "fax_number": "720-242-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCHER",
        "first_name": "MADYSON",
        "middle_name": "MAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.