Individual provider Active NPI

Nicole Marie Madalinski, NP

  • Family Nurse Practitioner
  • Iron Mountain, MI
National Provider Identifier
1952879025
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704293423 Issued in MI
Practice address
1711 S Stephenson Ave
Iron Mountain, MI 49801-3639
Phone
(906) 776-5955
Fax
(906) 776-5991
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704293423 MI Primary

Addresses

Primary practice location

1711 S Stephenson Ave
Iron Mountain, MI 49801-3639

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222

Other practice location 1

440 Woodward Ave
Iron Mountain, MI 49801-4631
Phone (906) 776-9040

Other practice location 2

610 S Lincoln Rd
Escanaba, MI 49829-1215
Phone (906) 786-6488

Other identifiers 1

IdentifierTypeStateIssuer
F10180865OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181220000692 MI Practitioner - Nurse Practitioner 9032454079 Reassigns benefits to 4 organizations
I20220516001766 WI Practitioner - Nurse Practitioner 9032454079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, shared by 10 NPIs, 685 clinicians

Practice addresses (Care Compare)

1711 S Stephenson Ave
215 Bellin Health
Iron Mountain, MI 49801-3649
Phone (906) 776-5955

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-6025

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Current Accepting new patients
St Francis Hospital CurrentSince Sep 20, 2023 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jan 4, 2022 Accepting new patients
St. Francis Hospital Current Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Aug 17, 2020 Accepting new patients
Osf Multi-Specialty Group CurrentSince Oct 23, 2023 Accepting new patients
St. Francis Hospital CurrentSince Sep 20, 2023 Accepting new patients
Cedar Hill Medical PC CurrentSince Dec 11, 2018 Accepting new patients

Locations

2845 US Highway 2 41
Ste 201
Bark River, MI 49807
Phone (906) 466-2000

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488

3409 Ludington St
Ste 206
Escanaba, MI 49829
Phone (906) 786-7471

2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276

2001 Minneapolis Ave
Ste D
Gladstone, MI 49837
Phone (906) 428-2000

1711 S Stephenson Ave
Ste 215
Iron Mountain, MI 49801
Phone (906) 776-5955

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

Interoperability endpoints

  • Direct secure messaging: nmadalinski296787@direct.thedacare.org
  • Direct secure messaging: nmadalinski925208@direct.emplifyhealth.org

Organizations & group practices 9

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 2

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1952879025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013639",
            "telephone_number": "906-776-5955",
            "fax_number": "906-776-5991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498014631",
            "country_code": "US",
            "telephone_number": "906-776-9040",
            "fax_number": "906-774-7279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 S Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498291215",
            "country_code": "US",
            "telephone_number": "906-786-6488",
            "fax_number": "906-786-6409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADALINSKI",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704293423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F10180865",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.