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MADELINE BRETZING FNP
NPI 1639986946
Nurse Practitioner in Ridgefield, WA

Active since December 11, 2024PECOS EnrolledAccepts Medicare Assignment
536 S ROYLE RD STE 120, RIDGEFIELD, WA 98642(360) 487-1086(360) 487-1088 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 15, 2026, Nov 25, 2025, Dec 11, 2024 (3 updates tracked since 2024).

About Madeline Bretzing Fnp NPPES

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

MADELINE BRETZING FNP (NPI 1639986946) is an individual nurse practitioner in Ridgefield, Washington, licensed in Washington (AP70048915) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Legacy Salmon Creek Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639986946
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADELINE BRETZINGCredential: FNP
Location Address536 S ROYLE RD STE 120Ridgefield, WA 98642-7759
Mailing Address536 S Royle Rd Ste 120Ridgefield, WA 98642-7759 · (360) 487-1086 · Fax (360) 487-1088
Phone(360) 487-1086
Fax(360) 487-1088
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 11, 2024
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1639986946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · AP70048915
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP70048915 (WA)
536 S ROYLE RD STE 120, Ridgefield, WA 98642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeline Bretzing Fnp 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 ID547746554
PECOS Enrollment IDI20260109000693
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.

Medicare Billing Reassignment

Medicare enrollment records show Madeline Bretzing reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Salmon Creek Hospital
6.9 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98642 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 3

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

CHAD ALAN SPAIN MD
Family Medicine
536 S ROYLE RD STE 120
RIDGEFIELD, WA 98642
Clark County (360) 487-1086
CRYSTAL ROSE LEWIS PA-C
Physician Assistant
536 S ROYLE RD STE 120
RIDGEFIELD, WA 98642
Clark County (360) 487-1086
DR. BRYCE ALAN ASHBY PHARMD
Pharmacist
536 S ROYLE RD STE 120
RIDGEFIELD, WA 98642
Clark County (360) 487-1086

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 Madeline Bretzing's NPI number?

The NPI number for Madeline Bretzing is 1639986946. It was assigned to this individual provider in the NPPES registry on December 11, 2024.

Where is Madeline Bretzing located?

Madeline Bretzing practices at 536 S Royle Rd Ste 120, Ridgefield, WA 98642. The listed phone number is (360) 487-1086.

What is Madeline Bretzing's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Madeline Bretzing enrolled in Medicare?

Yes. Madeline Bretzing 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.

Which organization bills Medicare for Madeline Bretzing's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Bretzing reassigns Medicare benefits to Legacy Salmon Creek Hospital (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madeline Bretzing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeline Bretzing accept?

Health plans from Moda Health Plan, Inc. list Madeline Bretzing 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 Madeline Bretzing affiliated with any hospitals?

According to CMS data, Madeline Bretzing is affiliated with Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Madeline Bretzing was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.