JERRY LYNN MADSEN RN, FNP-BC
NPI 1144587650
Nurse Practitioner - Family in Duluth, MN

Q: What is Jerry Madsen's NPI number?

The NPI number for Jerry Madsen is 1144587650. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Q: What is Jerry Madsen'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 Jerry Madsen was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 20, 2012PECOS Enrolled

4720 BURNING TREE RD, DULUTH, MN 55811(218) 623-1800(218) 623-1811 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jerry Lynn Madsen Rn, Fnp-bc NPPES

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

JERRY LYNN MADSEN RN, FNP-BC (NPI 1144587650) is an individual family provider in Duluth, Minnesota, licensed in Minnesota (R83926-8) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144587650

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJERRY LYNN MADSENCredential: RN, FNP-BC

Location Address4720 BURNING TREE RDDuluth, MN 55811-2634

Mailing Address113 Cedar Ridge DrCloquet, MN 55720-7521 · (507) 398-4313

Phone(218) 623-1800

Fax(218) 623-1811

Sole ProprietorNo

Enumeration DateApril 20, 2012

Last NPPES UpdateOctober 10, 2017

✔ NPI 1144587650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

License✔ Licensed in MN · R83926-8

Also ListedRegistered NurseTaxonomy 163W00000X · License R83926-8 (MN)

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License R83926-8 (MN)

4720 BURNING TREE RD, Duluth, MN 55811

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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)

Jerry Lynn Madsen Rn, Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 6

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

ANGELA BUB LCSW LICSW CCTP

Social Worker (Clinical)