Individual provider Active NPI

Tiffany Powers Madsen, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1942911680
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
249522 Issued in AZ
Practice address
11025 S 51St St Apt 2058
Phoenix, AZ 85044-1758
Phone
(480) 307-0096
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 249522 AZ Primary

Addresses

Primary practice location

11025 S 51St St Apt 2058
Phoenix, AZ 85044-1758

Mailing address

11025 S 51St St Apt 2058
Phoenix, AZ 85044-1758
Phone (480) 307-0096

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
I20241030000053 AZ Practitioner - Nurse Practitioner 2961935978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

2770 E Van Buren St
RM Abd
Phoenix, AZ 85008-6088
Phone (602) 273-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
249522AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc CurrentSince Sep 1, 2024 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Northlight Counseling Associates Inc Past Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457

560 S Bellview
Rm A
Mesa, AZ 85204
Phone (480) 962-7711

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

2770 E Van Buren St
Rm E
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
#A
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Ste Abd
Phoenix, AZ 85008

1520 E Pima St
Phoenix, AZ 85034
Phone (480) 232-8325

2770 E Van Buren St
Phoenix, AZ 85008
Phone (602) 273-9999

250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: tiffany.madsennp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 6

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1942911680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 S 51ST ST APT 2058",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441758",
            "telephone_number": "480-307-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 S 51ST ST APT 2058",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441758",
            "telephone_number": "480-307-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "TIFFANY",
        "middle_name": "POWERS",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "249522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.