JOHN M MADISON NP
NPI 1437694866
Nurse Practitioner - Acute Care in Dearborn, MI

Active since December 20, 2016PECOS EnrolledAccepts Medicare Assignment
19401 HUBBARD DR, SUITE 104, DEARBORN, MI 48126(313) 982-8201(313) 982-8001 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John M Madison Np NPPES

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

JOHN M MADISON NP (NPI 1437694866) is an individual acute care provider in Dearborn, Michigan, licensed in Michigan (4704293218) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1437694866
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOHN M MADISONCredential: NP
Location Address19401 HUBBARD DR, SUITE 104Dearborn, MI 48126-2641
Mailing Address19401 Hubbard Dr, Suite 104Dearborn, MI 48126-2641 · (313) 982-8201 · Fax (313) 982-8001
Fax(313) 982-8001
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 20, 2016
NPI 1437694866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704293218
19401 HUBBARD DR, Dearborn, MI 48126

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

John M Madison Np 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 ID4880979731
PECOS Enrollment IDI20170316001377
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
203 services172 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
70 services67 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48126 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

Anesthesiology
19401 HUBBARD DR
DEARBORN, MI 48126
Pharmacist
19401 HUBBARD DR
DEARBORN, MI 48126
Family Medicine
19401 HUBBARD DR
DEARBORN, MI 48126
Pediatrics
19401 HUBBARD DR
DEARBORN, MI 48126
Emergency Medicine
19401 HUBBARD DR, DEPARTMENT OF EMERGENCY MEDICINE
DEARBORN, MI 48126
Internal Medicine (Gastroenterology)
19401 HUBBARD DR
DEARBORN, MI 48126
Internal Medicine (Gastroenterology)
19401 HUBBARD DR, HENRY FORD FAIRLANE MEDICAL CENTER
DEARBORN, MI 48126
Obstetrics & Gynecology
19401 HUBBARD DR
DEARBORN, MI 48126

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 John Madison's NPI number?

The NPI number for John Madison is 1437694866. It was assigned to this individual provider in the NPPES registry on December 20, 2016.

Where is John Madison located?

John Madison practices at 19401 Hubbard Dr Suite 104, Dearborn, MI 48126. The listed phone number is (313) 982-8201.

What is John Madison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is John Madison enrolled in Medicare?

Yes. John Madison 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 John Madison accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list John Madison 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.

Is John Madison affiliated with any hospitals?

According to CMS data, John Madison is affiliated with Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for John Madison was last updated on December 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.