MADYSEN MICHELLE MCCORMICK
NPI 1376266791
Physician Assistant in Maplewood, MN

Active since September 21, 2022PECOS EnrolledAccepts Medicare Assignment
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109(651) 523-9800 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 3, 2024, Sep 21, 2022 (2 updates tracked since 2022).

About Madysen Michelle Mccormick NPPES

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

MADYSEN MICHELLE MCCORMICK (NPI 1376266791) is an individual physician assistant in Maplewood, Minnesota, licensed in Minnesota (15037) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376266791
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADYSEN MICHELLE MCCORMICK
Location Address2165 WHITE BEAR AVE NMaplewood, MN 55109-2707
Mailing Address200 1st St SwRochester, MN 55905-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 21, 2022
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1376266791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 15037
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2165 WHITE BEAR AVE N, Maplewood, MN 55109

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

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

Madysen Michelle Mccormick 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 ID7719419688
PECOS Enrollment IDI20241016002986
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 55109 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Nurse Practitioner (Gerontology)
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Dentist (General Practice)
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Internal Medicine
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
General Practice
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Pediatrics
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Pharmacist
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Family Medicine
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Pediatrics
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109

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 Madysen Mccormick's NPI number?

The NPI number for Madysen Mccormick is 1376266791. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Madysen Mccormick located?

Madysen Mccormick practices at 2165 White Bear Ave N, Maplewood, MN 55109. The listed phone number is (651) 523-9800.

What is Madysen Mccormick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madysen Mccormick enrolled in Medicare?

Yes. Madysen Mccormick 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 Madysen Mccormick accept?

Health plans from HealthPartners and Medica list Madysen Mccormick 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 Madysen Mccormick was last updated on October 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.