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MADISON WIVELL
NPI 1356137673
Surgery in Wilkes Barre, PA

Active since April 15, 2025PECOS Enrolled
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-7300 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Wivell NPPES

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

MADISON WIVELL (NPI 1356137673) is an individual surgery provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MT233703) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1356137673
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMADISON WIVELL
Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0001
Mailing Address1000 E Mountain BlvdWilkes Barre, PA 18711-0001
Phone(570) 808-7300
Sole ProprietorNo
Enumeration DateApril 15, 2025
Last NPPES UpdateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1356137673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MT233703
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711
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Secondary Practice Location 1

Location 11800 Mulberry StScranton, PA 18510-2369 · Phone (570) 703-8000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Wivell 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 18711 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

DR. KEVIN P BURKHARDT
Audiologist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7923
EVA VAISHNAV DO
Internal Medicine (Cardiovascular Disease)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-6020
DR. WALTER MIECZKOWSKI III
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
SARAH EILEEN HELWIG CRNP
Nurse Practitioner
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-2338
STACY KANDRAC
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7701
VANESSA ANNE MARKLE PHARMACIST
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7754
JEFFERSON WATERS
Student in an Organized Health Care Education/Training Program
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
DR. RICHARD M. SOMMA M.D.
Psychiatry & Neurology (Neurology)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 820-6028

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 Wivell's NPI number?

The NPI number for Madison Wivell is 1356137673. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Madison Wivell located?

Madison Wivell practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7300.

What is Madison Wivell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Madison Wivell enrolled in Medicare?

Yes. Madison Wivell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Wivell was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.