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MADISEN KEARNEY KOCH
NPI 1710823018
Nurse Practitioner - Family in Providence, RI

Active since April 28, 2026PECOS Enrolled
33 STANIFORD ST FL 1, PROVIDENCE, RI 02905(401) 421-8800 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madisen Kearney Koch NPPES

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

MADISEN KEARNEY KOCH (NPI 1710823018) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN05173) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710823018
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADISEN KEARNEY KOCH
Location Address33 STANIFORD ST FL 1Providence, RI 02905-3100
Mailing Address33 Staniford St Fl 1Providence, RI 02905-3100 · (401) 421-8800
Phone(401) 421-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1710823018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in RI · APRN05173
33 STANIFORD ST FL 1, Providence, RI 02905
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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)

Madisen Kearney Koch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971073578
PECOS Enrollment IDI20260526000107
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

MS. KAMI RYAN GIROLIMON CRNA, MSNA
Nurse Anesthetist, Certified Registered
33 STANIFORD ST FL 1
PROVIDENCE, RI 02905
Providence County (401) 649-4229
COURTNEY SMITH CRNA
Nurse Anesthetist, Certified Registered
33 STANIFORD ST FL 1
PROVIDENCE, RI 02905
Providence County (401) 421-8800
DR. JEFFREY NADELSON M.D.
Internal Medicine (Gastroenterology)
33 STANIFORD ST FL 1
PROVIDENCE, RI 02905
Providence County (978) 289-0745

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 Madisen Koch's NPI number?

The NPI number for Madisen Koch is 1710823018. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Madisen Koch located?

Madisen Koch practices at 33 Staniford St Fl 1, Providence, RI 02905. The listed phone number is (401) 421-8800.

What is Madisen Koch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Madisen Koch enrolled in Medicare?

Yes. Madisen Koch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madisen Koch was last updated on April 28, 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.