MRS. MADELINE NICOLE DEBOL PA
NPI 1508424102
Physician Assistant in St Louis Park, MN

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426(952) 993-3231 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, May 9, 2022, May 30, 2019 (3 updates tracked since 2019).

About Mrs. Madeline Nicole Debol Pa NPPES

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

MRS. MADELINE NICOLE DEBOL PA (NPI 1508424102) is an individual physician assistant in St Louis Park, Minnesota, licensed in Minnesota (13102) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1508424102
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MADELINE NICOLE DEBOLCredential: PA
Location Address3931 LOUISIANA AVE SSt Louis Park, MN 55426-5000
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 30, 2019
Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1508424102 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 · 13102
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.
3931 LOUISIANA AVE S, St Louis Park, MN 55426

Other Names 1

Former Name (1)Ms. Madeline Nicole Johnson

Secondary Practice Location 1

Location 1500 Harvard St SEMinneapolis, MN 55455-0363 · Phone (952) 270-2272

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

Mrs. Madeline Nicole Debol Pa 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 ID8325376924
PECOS Enrollment IDI20190820004103
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

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 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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.

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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S, STE E111
ST LOUIS PARK, MN 55426
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Counselor (Professional)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Physician Assistant
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Nurse Practitioner (Family)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

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 Madeline Debol's NPI number?

The NPI number for Madeline Debol is 1508424102. It was assigned to this individual provider in the NPPES registry on May 30, 2019. The provider is also known as Ms. Madeline Nicole Johnson.

Where is Madeline Debol located?

Madeline Debol practices at 3931 Louisiana Ave S, St Louis Park, MN 55426. The listed phone number is (952) 993-3231.

What is Madeline Debol's specialty?

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

Is Madeline Debol enrolled in Medicare?

Yes. Madeline Debol 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 Madeline Debol accept?

Health plans from HealthPartners and Medica list Madeline Debol 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 Madeline Debol affiliated with any hospitals?

According to CMS data, Madeline Debol is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Madeline Debol was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.