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MADISON MARLISA RUDNICK PA-C
NPI 1093482259
Physician Assistant - Medical in Washington, DC

Active since August 25, 2021PECOS EnrolledAccepts Medicare Assignment
2120 L ST NW STE 700, WASHINGTON, DC 20037(202) 331-9293(410) 584-1739 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Marlisa Rudnick Pa-c NPPES

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

MADISON MARLISA RUDNICK PA-C (NPI 1093482259) is an individual medical provider in Washington, District Of Columbia, licensed in Virginia (0110-008016) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Reston, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093482259
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMADISON MARLISA RUDNICKCredential: PA-C
Location Address2120 L ST NW STE 700Washington, DC 20037-1543
Mailing Address8110 Maple Lawn Blvd Ste 235Fulton, MD 20759-2694 · (301) 340-8339
Phone(202) 331-9293
Fax(410) 584-1739
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 25, 2021
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1093482259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110-008016
2120 L ST NW STE 700, Washington, DC 20037
Open in Google Maps ↗

Secondary Practice Location 1

Location 11860 Town Center Dr Ste 240Reston, VA 20190-5899 · Phone (703) 796-1986

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

Madison Marlisa Rudnick Pa-c 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 ID3375915119
PECOS Enrollment IDI20230204000208
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.

Other Providers at the Same Location NPPES 16

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

DR. LORI PICCO MD
Obstetrics & Gynecology
2120 L ST NW STE 700
WASHINGTON, DC 20037
District of Columbia (023) 319-2932
DR. KENNETH ALAN BLANK M.D.
Obstetrics & Gynecology (Gynecology)
2120 L ST NW STE 700
WASHINGTON, DC 20037
District of Columbia (202) 331-9293
KARI SOMARA SCHICHOR MD
Obstetrics & Gynecology
2120 L ST NW STE 700
WASHINGTON, DC 20037
District of Columbia (202) 331-9293
DR. KATHERINE ELEANOR DERTZ M.D.
Obstetrics & Gynecology
2120 L ST NW STE 700
WASHINGTON, DC 20037
District of Columbia (202) 331-9293
MS. CONSTANCE JOAN BOHON M.D.
Obstetrics & Gynecology (Gynecology)
2120 L ST NW STE 700
WASHINGTON, DC 20037
District of Columbia (202) 331-9293
DR. DIPTI KANAIYALAL KUMAR M.D.
Obstetrics & Gynecology
2120 L ST NW STE 700
WASHINGTON, DC 20037
District of Columbia (202) 331-9293
HANNAH DESELMS
Obstetrics & Gynecology
2120 L ST NW STE 700
WASHINGTON, DC 20037
District of Columbia (202) 331-9293
DR. KATHRYN ELISE WILKINSON O'BRIEN M.D.
Obstetrics & Gynecology
2120 L ST NW STE 700
WASHINGTON, DC 20037
District of Columbia (202) 331-9293

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 Madison Rudnick's NPI number?

The NPI number for Madison Rudnick is 1093482259. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Madison Rudnick located?

Madison Rudnick practices at 2120 L St NW Ste 700, Washington, DC 20037. The listed phone number is (202) 331-9293.

What is Madison Rudnick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Madison Rudnick enrolled in Medicare?

Yes. Madison Rudnick 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 Madison Rudnick was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.