MADISON PRUSS
NPI 1265194641
Nurse Practitioner - Family in Arlington, TX
About Madison Pruss NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON PRUSS (NPI 1265194641) is an individual family provider in Arlington, Texas, licensed in Texas (1034433) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Madison Pruss 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.
Medicare Billing Reassignments
2Medicare enrollment records show Madison Pruss reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arlington, TX 76005
- Reassigned Medicare billing, Texas enrollment
- 11 clinicians in this Medicare group
Alamogordo, NM 88310
- Reassigned Medicare billing, New Mexico enrollment
- 417 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gerald Champion Regional Medical Center
Acute Care Hospitals · Alamogordo, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Madison Pruss's NPI number?
The NPI number for Madison Pruss is 1265194641. It was assigned to this individual provider in the NPPES registry on October 12, 2021.
Where is Madison Pruss located?
Madison Pruss practices at 4130 N Collins St, Arlington, TX 76005. The listed phone number is (817) 799-7273.
What is Madison Pruss's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Madison Pruss enrolled in Medicare?
Yes. Madison Pruss 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.
Which organizations bill Medicare for Madison Pruss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madison Pruss reassigns Medicare benefits to 2 organizations: Subei Medical PLLC (Arlington, TX) and Otero County Hospital Association (Alamogordo, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madison Pruss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Madison Pruss affiliated with any hospitals?
According to CMS data, Madison Pruss is affiliated with Gerald Champion Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Madison Pruss was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Madison Pruss · NPI 1265194641
Family physician in Arlington, Texas. Individual provider, active in the CMS NPPES registry since October 12, 2021.
## Identity
- **NPI:** 1265194641 (Entity type: Individual)
- **Enumerated:** October 12, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1034433 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4130 N COLLINS ST, Arlington, TX 76005-4547
- **Phone:** (817) 799-7273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Subei Medical PLLC (NPI 1265942098, Arlington, TX); Otero County Hospital Association (NPI 1861450579, Alamogordo, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265194641) · Data from the CMS NPPES public registry.