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MADELINE R MULDER
NPI 1053185694
Nurse Practitioner in Pasadena, CA

Active since November 14, 2023PECOS EnrolledAccepts Medicare Assignment
625 S FAIR OAKS AVE STE 345, PASADENA, CA 91105(424) 314-0203(424) 314-0206 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2024, Nov 14, 2023 (2 updates tracked since 2023).

About Madeline R Mulder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELINE R MULDER (NPI 1053185694) is an individual nurse practitioner in Pasadena, California, licensed in California (95027190) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (2015).

NPPES Registry Identity

NPI1053185694
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADELINE R MULDER
Location Address625 S FAIR OAKS AVE STE 345Pasadena, CA 91105-2677
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(424) 314-0203
Fax(424) 314-0206
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2015
Enumeration DateNovember 14, 2023
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1053185694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95027190
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95027190 (CA)
625 S FAIR OAKS AVE STE 345, Pasadena, CA 91105
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Secondary Practice Locations 2

Location 1435 Arden Ave Ste 460Glendale, CA 91203-1139 · Phone (888) 209-8874
Location 23109 Madera AveLos Angeles, CA 90039-2324 · Phone (805) 459-1863

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeline R Mulder is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537512819
PECOS Enrollment IDI20240202001840
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY YI JIA SHAW MD
Internal Medicine (Hematology & Oncology)
625 S FAIR OAKS AVE STE 345
PASADENA, CA 91105
Los Angeles County (424) 314-0203
RACHELLE MEGAN SALUNGA FNP
Clinical Nurse Specialist (Medical-Surgical)
625 S FAIR OAKS AVE STE 345
PASADENA, CA 91105
Los Angeles County (424) 314-0203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeline Mulder's NPI number?

The NPI number for Madeline Mulder is 1053185694. It was assigned to this individual provider in the NPPES registry on November 14, 2023.

Where is Madeline Mulder located?

Madeline Mulder practices at 625 S Fair Oaks Ave Ste 345, Pasadena, CA 91105. The listed phone number is (424) 314-0203.

What is Madeline Mulder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Madeline Mulder enrolled in Medicare?

Yes. Madeline Mulder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Madeline Mulder was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.