MRS. MARILYN PELLETIER MADAJCZYK FNP-BC
NPI 1578730875
Nurse Practitioner - Family in Ray, MI

Q: What is Marilyn Madajczyk's NPI number?

The NPI number for Marilyn Madajczyk is 1578730875. It was assigned to this individual provider in the NPPES registry on May 15, 2008. The provider is also known as Mrs. Marilyn Adams Fnp-Bc.

Q: What is Marilyn Madajczyk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Marilyn Madajczyk was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 15, 2008PECOS Enrolled

21380 31 MILE RD, RAY, MI 48096(989) 254-0576 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2020, Nov 30, 2020, Nov 25, 2020 and 1 more (4 updates tracked since 2020).

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About Mrs. Marilyn Pelletier Madajczyk Fnp-bc NPPES

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

MRS. MARILYN PELLETIER MADAJCZYK FNP-BC (NPI 1578730875) is an individual family provider in Ray, Michigan, licensed in Michigan (11200003) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578730875

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARILYN PELLETIER MADAJCZYKCredential: FNP-BC

Location Address21380 31 MILE RDRay, MI 48096-1319

Mailing Address21380 31 Mile RdRay, MI 48096-1319 · (989) 254-0576

Phone(989) 254-0576

Sole ProprietorNo

Enumeration DateMay 15, 2008

Last NPPES UpdateDecember 11, 20204 updates tracked since enumeration

NPPES CertifiedDecember 11, 2020

✔ NPI 1578730875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 11200003

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704236178 (MI)

21380 31 MILE RD, Ray, MI 48096

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Other Names 1

Former Name (1)Mrs. Marilyn Adams Fnp-bc

Other Identifiers 1

Medicaid11200003MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marilyn Pelletier Madajczyk Fnp-bc 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 48096 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.

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 Marilyn Madajczyk's NPI number?

The NPI number for Marilyn Madajczyk is 1578730875. It was assigned to this individual provider in the NPPES registry on May 15, 2008. The provider is also known as Mrs. Marilyn Adams Fnp-Bc.

Where is Marilyn Madajczyk located?

Marilyn Madajczyk practices at 21380 31 Mile Rd, Ray, MI 48096. The listed phone number is (989) 254-0576.

What is Marilyn Madajczyk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marilyn Madajczyk enrolled in Medicare?

Yes. Marilyn Madajczyk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marilyn Madajczyk was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.