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MADELAINE ROSE MCCARTHY
NPI 1730801549
Nurse Practitioner - Family in Weatogue, CT

Active since September 19, 2022PECOS Enrolled
225 HOPMEADOW ST, WEATOGUE, CT 06089(860) 658-0465(860) 658-5963 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2025, Nov 6, 2022, Sep 19, 2022 (3 updates tracked since 2022).

About Madelaine Rose Mccarthy NPPES

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

MADELAINE ROSE MCCARTHY (NPI 1730801549) is an individual family provider in Weatogue, Connecticut, licensed in Connecticut (11177) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730801549
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADELAINE ROSE MCCARTHY
Location Address225 HOPMEADOW STWeatogue, CT 06089-9782
Mailing Address34 Latimer LnSimsbury, CT 06070-2749 · (203) 470-0259
Phone(860) 658-0465
Fax(860) 658-5963
Sole ProprietorNo
Enumeration DateSeptember 19, 2022
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1730801549 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 CT · 11177
225 HOPMEADOW ST, Weatogue, CT 06089
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madelaine Rose Mccarthy 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.

Medicare Billing Reassignment

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

Prohealth Physicians PC
7.5 mi
Family Medicine
3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
NPI 1720194053 (860) 284-5200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06089 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 20

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

NANCY REEVE YANNOPOULOS P.T.
Physical Therapist (Orthopedic)
225 HOPMEADOW ST
WEATOGUE, CT 06089
Capitol Planning Region (860) 651-0277
MRS. CARRIE ELIZABETH POOLE P.T.
Physical Therapist
225 HOPMEADOW ST
WEATOGUE, CT 06089
Capitol Planning Region (860) 651-0277
DR. ELIZABETH T PERICAT MD
Pediatrics
225 HOPMEADOW ST
WEATOGUE, CT 06089
Capitol Planning Region (860) 658-0465
MICHELLE PALMER M.S., CCC-SLP
Speech-Language Pathologist
225 HOPMEADOW ST
WEATOGUE, CT 06089
Capitol Planning Region (860) 217-0098
DR. DANIEL L SPADA M.D.
Pediatrics
225 HOPMEADOW ST
WEATOGUE, CT 06089
Capitol Planning Region (860) 658-0465
ELIZABETH A PARCELLA RD, CSP, CDN
Dietitian, Registered
225 HOPMEADOW ST
WEATOGUE, CT 06089
Capitol Planning Region (860) 658-0465
MRS. KAREN MARIA CORRIVEAU P.T.
Physical Therapist
225 HOPMEADOW ST
WEATOGUE, CT 06089
Capitol Planning Region (860) 651-0277
DR. COURTNEY LYNNE SOUZA MD
Pediatrics
225 HOPMEADOW ST
WEATOGUE, CT 06089
Capitol Planning Region (860) 658-0465

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 Madelaine Mccarthy's NPI number?

The NPI number for Madelaine Mccarthy is 1730801549. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Madelaine Mccarthy located?

Madelaine Mccarthy practices at 225 Hopmeadow St, Weatogue, CT 06089. The listed phone number is (860) 658-0465.

What is Madelaine Mccarthy's specialty?

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

Is Madelaine Mccarthy enrolled in Medicare?

Yes. Madelaine Mccarthy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madelaine Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madelaine Mccarthy reassigns Medicare benefits to Prohealth Physicians PC (Farmington, CT). 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 Madelaine Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madelaine Mccarthy accept?

Health plans from Anthem Blue Cross and Blue Shield list Madelaine Mccarthy 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.

When was this NPI record last updated?

The NPPES record for Madelaine Mccarthy was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.