Individual provider Active NPI

Kelsey Madden, FNP

  • Family Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1922605278
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
247922 Issued in AZ
Practice address
37200 N Gantzel Rd Ste 340
Queen Creek, AZ 85140-7390
Phone
(480) 636-1193
Fax
(480) 664-3661
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 247922 AZ Primary
Dermatology Physician 207N00000X 247922 AZ

Addresses

Primary practice location

37200 N Gantzel Rd Ste 340
Queen Creek, AZ 85140-7390

Mailing address

9964 E Rubidium Ave
Mesa, AZ 85212-8947
Phone (586) 945-6408

Other practice location 1

3811 E Bell Rd Ste 309
Phoenix, AZ 85032-2160
Phone (602) 951-0950

Other practice location 2

3011 S Lindsay Rd Ste 111
Gilbert, AZ 85295-4334
Phone (480) 619-6450

Other practice location 3

20401 N 73rd St Ste 230
Scottsdale, AZ 85255-4153
Phone (480) 556-0446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20201020001528 AZ Practitioner - Nurse Practitioner 6002236650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

Practice addresses (Care Compare)

37200 N Gantzel Rd
Suite 340
Queen Creek, AZ 85140-7390
Phone (480) 636-1193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247922AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Lee Averitte Jr PLLC Dermatology CurrentSince Nov 2, 2020 Accepting new patients
Center for Dermatology, PLLC Dermatology CurrentSince May 1, 2025 Accepting new patients
Center for Dermatology, PLLC Past Accepting new patients
English Dermatology PC Dermatology PastSince Mar 30, 2025 Accepting new patients

Locations

3011 S Lindsay Rd
Ste 111
Gilbert, AZ 85295
Phone (480) 507-5011

1459 S Higley Rd
Ste 106
Gilbert, AZ 85296
Phone (480) 543-6780

3811 E Bell Rd
Ste 309
Phoenix, AZ 85032
Phone (480) 420-0749

37200 N Gantzel Rd
Ste 340
Queen Creek, AZ 85140
Phone (480) 636-1193

14275 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 223-9501

20401 N 73rd St
Ste 230
Scottsdale, AZ 85255

Interoperability endpoints

  • Direct secure messaging: kelsey.madden@pdpaz.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1922605278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9964 E RUBIDIUM AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128947",
            "telephone_number": "586-945-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37200 N GANTZEL RD STE 340",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407390",
            "telephone_number": "480-636-1193",
            "fax_number": "480-664-3661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 E Bell Rd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322160",
            "country_code": "US",
            "telephone_number": "602-951-0950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 S Lindsay Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852954334",
            "country_code": "US",
            "telephone_number": "480-619-6450",
            "fax_number": "480-355-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20401 N 73rd St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852554153",
            "country_code": "US",
            "telephone_number": "480-556-0446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "KELSEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "247922",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "247922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.