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CARISSA SUMMERS MADSON DO
NPI 1629771282
Student in an Organized Health Care Education/Training Program in Wilkes Barre, PA

Active since March 23, 2023PECOS Enrolled
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711(707) 567-3830 Get Directions Write a Review

NPPES record last updated: March 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carissa Summers Madson Do NPPES

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

CARISSA SUMMERS MADSON DO (NPI 1629771282) is an individual student in an organized health care education/training program in Wilkes Barre, Pennsylvania and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629771282
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARISSA SUMMERS MADSONCredential: DO
Location Address1000 E MOUNTAIN DRWilkes Barre, PA 18711-0001
Mailing Address1500 Lewis Turner Blvd Apt M103Fort Walton Beach, FL 32547-7211 · (707) 567-3830
Phone(707) 567-3830
Sole ProprietorNo
Enumeration DateMarch 23, 2023
Last NPPES UpdateMarch 26, 2023
NPPES CertifiedMarch 26, 2023
✔ NPI 1629771282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 E MOUNTAIN DR, Wilkes Barre, PA 18711
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carissa Summers Madson Do 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.

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. PAUL ANTHONY ARKLESS M.D.
Internal Medicine (Pulmonary Disease)
1000 E MOUNTAIN DR, PULMONARY DEPARTMENT
WILKES BARRE, PA 18711
Luzerne County (570) 808-5770
DR. JEEWENDRA DULAL M.D.
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7399
DR. DANIEL GOLTZ D.O
Emergency Medicine
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7762
JULIA CHRISTINA D'SOUZA MD MTR
Radiology (Vascular & Interventional Radiology)
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7779
VRUNDA MANGAROLIYA MD
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7399
BARRY LEE GREEN DO
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7916
HALEEMA SAJID M.D.
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7916
MEENAKSHI DAVULURI M.D.
Urology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7850

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 Carissa Madson's NPI number?

The NPI number for Carissa Madson is 1629771282. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Carissa Madson located?

Carissa Madson practices at 1000 E Mountain Dr, Wilkes Barre, PA 18711. The listed phone number is (707) 567-3830.

What is Carissa Madson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carissa Madson enrolled in Medicare?

Yes. Carissa Madson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carissa Madson was last updated on March 26, 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.