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CLAIRE R MADDEN CRNP
NPI 1619518982
Nurse Practitioner - Acute Care in Pittsburgh, PA

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
320 E NORTH AVE, PITTSBURGH, PA 15212(412) 359-6656(412) 359-6653 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Oct 7, 2020, Nov 25, 2019 and 1 more (4 updates tracked since 2019).

About Claire R Madden Crnp NPPES

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

CLAIRE R MADDEN CRNP (NPI 1619518982) is an individual acute care provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP020938) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with West Penn Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619518982
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCLAIRE R MADDENCredential: CRNP
Location Address320 E NORTH AVEPittsburgh, PA 15212-4756
Mailing Address320 E North AvePittsburgh, PA 15212-4756 · (412) 359-6656 · Fax (412) 359-6653
Phone(412) 359-6656
Fax(412) 359-6653
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 8, 2019
Last NPPES UpdateNovember 3, 20234 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1619518982 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 PA · SP020938
320 E NORTH AVE, Pittsburgh, PA 15212
Open in Google Maps ↗

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

Claire R Madden Crnp 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 ID1052745205
PECOS Enrollment IDI20191223001041
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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services14 patients

Hospital Affiliations CMS Care Compare

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

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

DR. MATTHEW SCOTT HARTMAN M.D.
Radiology (Diagnostic Radiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-2459
DR. JOSEF TURNER M.D.
Emergency Medicine
320 E NORTH AVE, EMERGENCY MEDICINE RESIDENCY OFFICE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
DR. MATTHEW MICHAEL LANDER M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6500
DR. VINCENT SAMUEL CERETTO D.O
Emergency Medicine (Medical Toxicology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3030
MATTHEW LYONS CRNA
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3155
MISS KRISTY LYNN BOWMAN RN
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6581
ANNA MOSELEY VANATTA MD
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
ADEE ELHAMDANI
Student in an Organized Health Care Education/Training Program
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4971

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 Claire Madden's NPI number?

The NPI number for Claire Madden is 1619518982. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Claire Madden located?

Claire Madden practices at 320 E North Ave, Pittsburgh, PA 15212. The listed phone number is (412) 359-6656.

What is Claire Madden's specialty?

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

Is Claire Madden enrolled in Medicare?

Yes. Claire Madden 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.

Is Claire Madden affiliated with any hospitals?

According to CMS data, Claire Madden is affiliated with West Penn Hospital.

When was this NPI record last updated?

The NPPES record for Claire Madden was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.