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ANDREA KAY MADRIGAL
NPI 1255209839
Nurse Practitioner - Family in Mason City, IA

Active since October 27, 2025PECOS EnrolledAccepts Medicare Assignment
621 S ILLINOIS AVE, MASON CITY, IA 50401(641) 428-6900 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Kay Madrigal NPPES

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

ANDREA KAY MADRIGAL (NPI 1255209839) is an individual family provider in Mason City, Iowa, licensed in Iowa (A187244) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255209839
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA KAY MADRIGAL
Location Address621 S ILLINOIS AVEMason City, IA 50401-5405
Mailing Address204 S Washington Ave # 100Albert Lea, MN 56007-2555 · (507) 369-5701
Phone(641) 428-6900
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1255209839 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
Licenses✔ Licensed in IA · A187244✔ Licensed in MN · 13263
621 S ILLINOIS AVE, Mason City, IA 50401
Open in Google Maps ↗

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

Andrea Kay Madrigal 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.

PECOS PAC ID4789179276
PECOS Enrollment IDI20251222003125
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 17

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

ROBERT BORGMAN MD
Family Medicine
621 S ILLINOIS AVE, SUITTE 100
MASON CITY, IA 50401
Cerro Gordo County (641) 422-6900
SUSAN A MULLENBACH ARNP
Nurse Practitioner (Family)
621 S ILLINOIS AVE, SUITE 100
MASON CITY, IA 50401
Cerro Gordo County (641) 422-6900
MS. ALYSSA ANNE RIDER MS, RD, LD
Dietitian, Registered
621 S ILLINOIS AVE
MASON CITY, IA 50401
Cerro Gordo County (641) 428-2320
NORTH IOWA MERCY CLINICS
Family Medicine
621 S ILLINOIS AVE, SUITE 100
MASON CITY, IA 50401
Cerro Gordo County (641) 428-6600
DR. SHUMAILA MASOOD M.D.
Family Medicine
621 S ILLINOIS AVE
MASON CITY, IA 50401
Cerro Gordo County (641) 428-6900
NIMALKA PANAMULLA JAYATILLEKA MD
Family Medicine
621 S ILLINOIS AVE, SUITE 100
MASON CITY, IA 50401
Cerro Gordo County (641) 428-6900
SMITHA A KANAK MD
Internal Medicine
621 S ILLINOIS AVE
MASON CITY, IA 50401
Cerro Gordo County (641) 494-3000
SARAH SWEGLE RPH
Pharmacist
621 S ILLINOIS AVE, SUITE 104
MASON CITY, IA 50401
Cerro Gordo County (641) 422-6944

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 Andrea Madrigal's NPI number?

The NPI number for Andrea Madrigal is 1255209839. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Where is Andrea Madrigal located?

Andrea Madrigal practices at 621 S Illinois Ave, Mason City, IA 50401. The listed phone number is (641) 428-6900.

What is Andrea Madrigal's specialty?

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

Is Andrea Madrigal enrolled in Medicare?

Yes. Andrea Madrigal 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.

Is Andrea Madrigal affiliated with any hospitals?

According to CMS data, Andrea Madrigal is affiliated with Mercyone North Iowa Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Madrigal was last updated on October 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.