MRS. MADELYN M NICKERSON PA-C
NPI 1609327816
Physician Assistant - Medical in St Petersburg, FL

Q: What is Madelyn Nickerson's NPI number?

The NPI number for Madelyn Nickerson is 1609327816. It was assigned to this individual provider in the NPPES registry on October 23, 2016. The provider is also known as Ms. Madelyn Mcnamara Screnock Pa-C.

Q: What is Madelyn Nickerson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Madelyn Nickerson was last updated on April 12, 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.

Active since October 23, 2016PECOS EnrolledAccepts Medicare Assignment

6801 4TH ST N, ST PETERSBURG, FL 33702(727) 822-3238(727) 823-1278 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2023, Mar 23, 2021, Nov 4, 2020 and 6 more (9 updates tracked since 2016).

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About Mrs. Madelyn M Nickerson Pa-c NPPES

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

MRS. MADELYN M NICKERSON PA-C (NPI 1609327816) is an individual medical provider in St Petersburg, Florida, licensed in Florida (PA9109804) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609327816

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. MADELYN M NICKERSONCredential: PA-C

Location Address6801 4TH ST NSt Petersburg, FL 33702-6844

Mailing Address6801 4th St NSt Petersburg, FL 33702-6844 · (727) 822-3238 · Fax (813) 635-2613

Phone(727) 822-3238

Fax(727) 823-1278

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 23, 2016

Last NPPES UpdateApril 12, 20239 updates tracked since enumeration

NPPES CertifiedApril 12, 2023

✔ NPI 1609327816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9109804

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9109804 (FL)

6801 4TH ST N, St Petersburg, FL 33702

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Other Names 1

Former Name (1)Ms. Madelyn Mcnamara Screnock Pa-c

Other Identifiers 1

Medicaid019646400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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. Madelyn M Nickerson Pa-c 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 ID3779864301

PECOS Enrollment IDI20170612002357

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 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.

142 services98 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

64 services64 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services23 patients

Hospital Affiliations CMS Care Compare 3

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

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100067

Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County

Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims12 services$20.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

VIVIANA C FRAZIER M.D.

Family Medicine

6801 4TH ST N
SAINT PETERSBURG, FL 33702

Pinellas County (727) 822-3238

BAYCARE MEDICAL GROUP INC

Family Medicine

6801 4TH ST N
ST PETERSBURG, FL 33702

Pinellas County (727) 822-3238

CHRISTIAN OLOF BENGTSON MD

Family Medicine

6801 4TH ST N
ST PETERSBURG, FL 33702

Pinellas County (727) 822-3238

DR. SHANA ELIZABETH ANTON MD

Family Medicine

6801 4TH ST N
SAINT PETERSBURG, FL 33702

Pinellas County (727) 822-3238

DR. DON EDWARD PARISH D.O.

Internal Medicine

6801 4TH ST N
ST PETERSBURG, FL 33702

Pinellas County (727) 822-3238

MEREDITH DYKES ARNP

Nurse Practitioner (Family)

6801 4TH ST N
ST PETERSBURG, FL 33702

Pinellas County (727) 822-3238

DR. CAROL THUY VY TRAN M.D.

Family Medicine

6801 4TH ST N
ST PETERSBURG, FL 33702

Pinellas County (727) 822-3238

TIMMI MAXMILLIAN DO

Family Medicine

6801 4TH ST N
ST PETERSBURG, FL 33702

Pinellas County (727) 822-3238

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 Madelyn Nickerson's NPI number?

The NPI number for Madelyn Nickerson is 1609327816. It was assigned to this individual provider in the NPPES registry on October 23, 2016. The provider is also known as Ms. Madelyn Mcnamara Screnock Pa-C.

Where is Madelyn Nickerson located?

Madelyn Nickerson practices at 6801 4th St N, St Petersburg, FL 33702. The listed phone number is (727) 822-3238.

What is Madelyn Nickerson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Madelyn Nickerson enrolled in Medicare?

Yes. Madelyn Nickerson 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 Madelyn Nickerson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Madelyn Nickerson 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 Madelyn Nickerson affiliated with any hospitals?

According to CMS data, Madelyn Nickerson is affiliated with St Anthonys Hospital, St Josephs Hospital and Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Madelyn Nickerson was last updated on April 12, 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.