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PENNY J MADER CNP
NPI 1518247758
Nurse Practitioner in Provo, UT

Active since August 19, 2011PECOS EnrolledAccepts Medicare Assignment
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604(801) 354-8225(801) 418-0941 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2023, May 16, 2023 (2 updates tracked since 2023).

About Penny J Mader Cnp NPPES

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

PENNY J MADER CNP (NPI 1518247758) is an individual nurse practitioner in Provo, Utah, licensed in Utah (13327156-4405) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518247758
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePENNY J MADERCredential: CNP
Location Address1055 N 500 W, ATTN CREDENTIALINGProvo, UT 84604
Mailing Address1055 N 500 W, Attn CredentialingProvo, UT 84604-4232 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 354-8225
Fax(801) 418-0941
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 19, 2011
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1518247758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in UT · 13327156-4405✔ Licensed in NM · CNP-01828
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1055 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1355 N Main StKanab, UT 84741-3260 · Phone (435) 644-4100 · Fax (435) 644-3366
Location 22450 S Telshor BlvdLas Cruces, NM 88011-5069 · Phone (575) 532-5455 ext. 12 · Fax (575) 532-5641

Other Identifiers 1

Medicaid48922218NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Select Health.Insurance ›

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

Penny J Mader Cnp 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 ID6901070184
PECOS Enrollment IDI20111128000590, I20260130002557
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Penny Mader reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kane County Human Resource Special Service District
6.3 mi
Skilled Nursing Facility
909 WEST 450 SOUTH
Springville, UT 84663
  • Reassigned Medicare billing, Utah enrollment
  • 46 clinicians in this Medicare group
NPI 1063401750 (801) 960-9000
Dhhs Phs Naihs Crownpoint Hospital
369 mi
General Acute Care Hospital
JUNCTION OF HWY 371, NAVAJO RT9
Crownpoint, NM 87313
  • Reassigned Medicare billing, Texas enrollment
  • 265 clinicians in this Medicare group
NPI 1114960093 (505) 786-5291
Presbyterian Healthcare Services
422 mi
Rural
1010 SPRUCE ST
Espanola, NM 87532
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1154307593 (505) 753-7111
Emergency Physicians Southwest, PC
471 mi
Emergency Medicine
6644 E BAYWOOD AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 289 clinicians in this Medicare group
NPI 1912053752 (480) 321-2000

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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services23 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

ASHLEY SAUNDERS
Family Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 812-5033
CRYSTAL C HUFFAKER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604
Utah County (801) 357-7327
SCOTT DELAFIELD EVANS MD
Orthopaedic Surgery (Hand Surgery)
1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604
Utah County (801) 373-7350
EVAN SCOTT NIELSEN MD
Orthopaedic Surgery
1055 N 500 W, STE 121
PROVO, UT 84604
Utah County (801) 373-7350
ROSANNE JOHNSON OLIVER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 205
PROVO, UT 84604
Utah County (801) 429-8095
LESLEE RONALD ADAMS NP
Nurse Practitioner (Family)
1055 N 500 W, STE 211
PROVO, UT 84604
Utah County (801) 357-7327
WYATT JAMES BOLES DO
Family Medicine
1055 N 500 W, BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
DR. REX F RIPPLINGER MD
Internal Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 429-8000

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 Penny Mader's NPI number?

The NPI number for Penny Mader is 1518247758. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Penny Mader located?

Penny Mader practices at 1055 N 500 W Attn Credentialing, Provo, UT 84604. The listed phone number is (801) 354-8225.

What is Penny Mader's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Penny Mader enrolled in Medicare?

Yes. Penny Mader 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 Penny Mader's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Penny Mader reassigns Medicare benefits to 4 organizations: Kane County Human Resource Special Service District (Springville, UT), Dhhs Phs Naihs Crownpoint Hospital (Crownpoint, NM), Presbyterian Healthcare Services (Espanola, NM) and Emergency Physicians Southwest, PC (Mesa, AZ). 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 Penny Mader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Penny Mader accept?

Health plans from Blue Cross Blue Shield of Arizona and Select Health list Penny Mader 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 Penny Mader affiliated with any hospitals?

According to CMS data, Penny Mader is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Penny Mader was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.