Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MADISON KOLASSA FNP-BC
NPI 1124930763
Nurse Practitioner - Family in Fraser, MI

Q: What is Madison Kolassa's NPI number?

The NPI number for Madison Kolassa is 1124930763. It was assigned to this individual provider in the NPPES registry on September 18, 2026.

Q: What is Madison Kolassa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Kolassa was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.

Active since September 18, 2026

15479 MEADOWS DR, FRASER, MI 48026(586) 244-3969 Get Directions Write a Review

NPPES record added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Madison Kolassa Fnp-bc NPPES

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

MADISON KOLASSA FNP-BC (NPI 1124930763) is an individual family provider in Fraser, Michigan, licensed in Michigan (4704405709) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1124930763

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMADISON KOLASSACredential: FNP-BC

Location Address15479 MEADOWS DRFraser, MI 48026-5024

Mailing Address15479 Meadows DrFraser, MI 48026-5024

Phone(586) 244-3969

Sole ProprietorNo

Enumeration DateSeptember 18, 2026

NPPES CertifiedSeptember 18, 2026

✔ NPI 1124930763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704405709

15479 MEADOWS DR, Fraser, MI 48026

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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 Kolassa's NPI number?

The NPI number for Madison Kolassa is 1124930763. It was assigned to this individual provider in the NPPES registry on September 18, 2026.

Where is Madison Kolassa located?

Madison Kolassa practices at 15479 Meadows Dr, Fraser, MI 48026. The listed phone number is (586) 244-3969.

What is Madison Kolassa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Madison Kolassa was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.