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ERICA LEE MADARA NP
NPI 1184285165
Nurse Practitioner - Family in Amherst, MA

Active since June 21, 2019PECOS Enrolled

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2020, Jun 21, 2019 (2 updates tracked since 2019).

About Erica Lee Madara Np NPPES

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

ERICA LEE MADARA NP (NPI 1184285165) is an individual family provider in Amherst, Massachusetts, licensed in Massachusetts (RN2301213) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184285165
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA LEE MADARACredential: NP
Location Address31 HALL DRAmherst, MA 01002-2751
Mailing Address220 Lathrop StSouth Hadley, MA 01075-3309
Phone(413) 256-8561
Sole ProprietorNo
Enumeration DateJune 21, 2019
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
✔ NPI 1184285165 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 MA · RN2301213
31 HALL DR, Amherst, MA 01002
Open in Google Maps ↗

Other Names 1

Other Name (5)Erica Lee Sullivan

Other Identifiers 1

Medicaid110157382AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erica Lee Madara Np 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 01002 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

ELIZABETH CORY NP
Nurse Practitioner
31 HALL DR
AMHERST, MA 01002
Hampshire County (413) 256-8561
ALAN D. BERKENWALD MD
Internal Medicine
31 HALL DR
AMHERST, MA 01002
Hampshire County (413) 256-8561
MS. MARTHA W. MOHR PA-C
Physician Assistant (Medical)
31 HALL DR
AMHERST, MA 01002
Hampshire County (413) 256-8561
MERCEDES LEE CLINGERMAN PAC
Physician Assistant (Medical)
31 HALL DR, VALLEY MEDICAL GROUP
AMHERST, MA 01002
Hampshire County (413) 256-8561
DR. GLENN E MISKOVSKY M.D.
Family Medicine
31 HALL DR, AMHERST MEDICAL CENTER
AMHERST, MA 01002
Hampshire County (413) 256-8561
DR. JOEL A FEINMAN PH.D.
Psychologist (Clinical)
31 HALL DR, AMHERST MEDICAL CENTER
AMHERST, MA 01002
Hampshire County (413) 256-8561
PATRICIA ELIZABETH KEOUGH ANP
Nurse Practitioner (Adult Health)
31 HALL DR, AMHERST MEDICAL CENTER
AMHERST, MA 01002
Hampshire County (413) 256-8561
LAURA PRICE M.D.
Pediatrics
31 HALL DR, SUITE 2
AMHERST, MA 01002
Hampshire County (413) 253-3773

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 Erica Madara's NPI number?

The NPI number for Erica Madara is 1184285165. It was assigned to this individual provider in the NPPES registry on June 21, 2019. The provider is also known as Erica Lee Sullivan.

Where is Erica Madara located?

Erica Madara practices at 31 Hall Dr, Amherst, MA 01002. The listed phone number is (413) 256-8561.

What is Erica Madara's specialty?

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

Is Erica Madara enrolled in Medicare?

Yes. Erica Madara is registered in the Medicare PECOS enrollment system.

What insurance does Erica Madara accept?

Health plans from Anthem Blue Cross and Blue Shield list Erica Madara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Erica Madara was last updated on January 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.