MADELYN E BROTNOW PA - C
NPI 1174331680
Physician Assistant in Rockford, IL

Q: What is Madelyn Brotnow's NPI number?

The NPI number for Madelyn Brotnow is 1174331680. It was assigned to this individual provider in the NPPES registry on December 30, 2024.

Q: What is Madelyn Brotnow's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Madelyn Brotnow was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 30, 2024PECOS Enrolled

1401 E STATE ST, ROCKFORD, IL 61104(779) 696-4400 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Madelyn E Brotnow Pa - C NPPES

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

MADELYN E BROTNOW PA - C (NPI 1174331680) is an individual physician assistant in Rockford, Illinois, licensed in Illinois (010960) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174331680

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADELYN E BROTNOWCredential: PA - C

Location Address1401 E STATE STRockford, IL 61104-2315

Mailing Address837 Deering CtWest Chicago, IL 60185-4956 · (630) 749-8642

Phone(779) 696-4400

Sole ProprietorYes

Enumeration DateDecember 30, 2024

NPPES CertifiedDecember 30, 2024

✔ NPI 1174331680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 010960

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1401 E STATE ST, Rockford, IL 61104

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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)

Madelyn E Brotnow Pa - C 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 61104 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

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