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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADISON FAGERLIE
NPI 1639922370
Emergency Medicine in Peoria, AZ

Active since April 11, 2024PECOS Enrolled
24998 N 74TH AVE, PEORIA, AZ 85383(623) 853-3428 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 9, 2026, Apr 11, 2024 (2 updates tracked since 2024).

About Madison Fagerlie NPPES

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

MADISON FAGERLIE (NPI 1639922370) is an individual emergency medicine provider in Peoria, Arizona, licensed in Arizona (012634) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639922370
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMADISON FAGERLIE
Location Address24998 N 74TH AVEPeoria, AZ 85383-6325
Mailing Address24998 N 74th AvePeoria, AZ 85383-6325 · (623) 853-3428
Phone(623) 853-3428
Sole ProprietorNo
Enumeration DateApril 11, 2024
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1639922370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AZ · 012634
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
24998 N 74TH AVE, Peoria, AZ 85383
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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)

Madison Fagerlie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85383 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 Madison Fagerlie's NPI number?

The NPI number for Madison Fagerlie is 1639922370. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Madison Fagerlie located?

Madison Fagerlie practices at 24998 N 74th Ave, Peoria, AZ 85383. The listed phone number is (623) 853-3428.

What is Madison Fagerlie's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Madison Fagerlie enrolled in Medicare?

Yes. Madison Fagerlie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Fagerlie was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.