MADISEN DUNCAN PMHNP-BC
NPI 1245919869
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MI
About Madisen Duncan Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISEN DUNCAN PMHNP-BC (NPI 1245919869) is an individual psychiatric/mental health provider in Grand Rapids, Michigan, licensed in Michigan (4704419991) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Madisen Duncan Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
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 Madisen Duncan's NPI number?
The NPI number for Madisen Duncan is 1245919869. It was assigned to this individual provider in the NPPES registry on July 12, 2023.
Where is Madisen Duncan located?
Madisen Duncan practices at 3950 Sparks Dr SE Ste 103, Grand Rapids, MI 49546. The listed phone number is (616) 726-1318.
What is Madisen Duncan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Madisen Duncan enrolled in Medicare?
Yes. Madisen Duncan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Madisen Duncan accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Madisen Duncan 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 Madisen Duncan was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Madisen Duncan, PMHNP-BC · NPI 1245919869
Psychiatric/Mental Health physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 12, 2023.
## Identity
- **NPI:** 1245919869 (Entity type: Individual)
- **Enumerated:** July 12, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4704419991 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3950 SPARKS DR SE STE 103, Grand Rapids, MI 49546-6159
- **Phone:** (616) 726-1318
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1245919869) · Data from the CMS NPPES public registry.