Individual provider Active NPI

Jamie Madl, PA-C

  • Physician Assistant
  • Lawrence, KS
National Provider Identifier
1972903813
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
T04045 Issued in KS
Practice address
1112 W 6TH St Ste 215
Lawrence, KS 66044-2215
Phone
(785) 505-2250
Fax
(785) 505-5259
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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 T04045 KS Primary

Addresses

Primary practice location

1112 W 6TH St Ste 215
Lawrence, KS 66044-2215

Mailing address

325 Maine St
Mso Library
Lawrence, KS 66044-1360
Phone (785) 505-2988

Other practice location 1

330 Arkansas St Ste 215
Lawrence, KS 66044-1326
Phone (785) 505-2250

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jamie.madl@direct.lmh.org Direct
Direct Messaging Address jamie.madl@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20141010001638 KS Practitioner - Physician Assistant 6709006992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

1112 W 6TH St
Lawrence, KS 66044-2249

1130 W 4TH St
Lawrence, KS 66044-1333

325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-2800

330 Arkansas St
Lawrence, KS 66044-1335

4525 W 6TH St
100 LMH Health Primary Care 6TH and Folks Roa
Lawrence, KS 66049-7700
Phone (785) 505-5160

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T04045KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Clinical Laboratory Chartered Current Accepting new patients
Lawrence Memorial Hospital Current Accepting new patients
Lawrence Physicians LLC CurrentSince Oct 2, 2017 Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

1112 W 6th St
Ste 124
Lawrence, KS 66044
Phone (785) 838-7846

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

330 Arkansas St
Ste 215
Lawrence, KS 66044
Phone (785) 505-2250

1112 W 6th St
Ste 215
Lawrence, KS 66044
Phone (785) 505-2250

Organizations & group practices 5

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1972903813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE ST",
            "address_2": "MSO LIBRARY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441360",
            "telephone_number": "785-505-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 215",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442215",
            "telephone_number": "785-505-2250",
            "fax_number": "785-505-5259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Arkansas St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660441326",
            "country_code": "US",
            "telephone_number": "785-505-2250",
            "fax_number": "785-505-5259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADL",
        "first_name": "JAMIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T04045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.madl@direct.lmh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1112 W 6th St Ste 124",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660442249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.madl@direct.lmh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1112 W 6th St Ste 215",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660442215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.