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MADISON NOOM
NPI 1093505489
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 08, 2025PECOS Enrolled
2215 FULLER RD, ANN ARBOR, MI 48105(734) 845-5290 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 28, 2025, May 8, 2025 (2 updates tracked since 2025).

About Madison Noom NPPES

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

MADISON NOOM (NPI 1093505489) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351054077) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093505489
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMADISON NOOM
Location Address2215 FULLER RDAnn Arbor, MI 48105-2303
Mailing Address1500 E Medical Center Dr., 3116 Tc, Spc 5368Ann Arbor, MI 48109 · (734) 998-2020
Phone(734) 845-5290
Sole ProprietorNo
Enumeration DateMay 8, 2025
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1093505489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351054077
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2215 FULLER RD, Ann Arbor, MI 48105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Noom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

MRS. SUSAN M MEADOR R.PH
Pharmacist
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
DR. ROBERT LUCZAK RPH
Pharmacist
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
DR. MICHAEL JOSEPH BRENNER PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
DR. EDWARD P POST MD
Internal Medicine
2215 FULLER RD, HSR&D (11H)
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
JOHN D BRADLEY M.D.
Internal Medicine (Rheumatology)
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
DR. ROBERT A WERNER MD
Physical Medicine & Rehabilitation
2215 FULLER RD, ROUTER 117
ANN ARBOR, MI 48105
Washtenaw County (734) 761-7176
VA MEDICAL CENTER
General Acute Care Hospital
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 761-7926
MS. KATHERINE ANNE GRAVLIN NURSE PRACTITIONER
Nurse Practitioner (Family)
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100

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 Noom's NPI number?

The NPI number for Madison Noom is 1093505489. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Madison Noom located?

Madison Noom practices at 2215 Fuller Rd, Ann Arbor, MI 48105. The listed phone number is (734) 845-5290.

What is Madison Noom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Madison Noom enrolled in Medicare?

Yes. Madison Noom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Noom was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.