MADELINE A MACDONALD PMHCNC-BC
NPI 1801208962
Clinical Nurse Specialist - Psychiatric/Mental Health in Bowling Green, OH

Q: What is Madeline Macdonald's NPI number?

The NPI number for Madeline Macdonald is 1801208962. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Q: What is Madeline Macdonald's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Active since May 23, 2014PECOS EnrolledAccepts Medicare Assignment

1010 N PROSPECT ST, BOWLING GREEN, OH 43402(419) 352-5387 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Madeline A Macdonald Pmhcnc-bc NPPES

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

MADELINE A MACDONALD PMHCNC-BC (NPI 1801208962) is an individual psychiatric/mental health provider in Bowling Green, Ohio, licensed in Ohio (COA.15858-NS) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1801208962

Entity TypeIndividualFemale

Primary Taxonomy364SP0808X

Provider Legal NameMADELINE A MACDONALDCredential: PMHCNC-BC

Location Address1010 N PROSPECT STBowling Green, OH 43402-1335

Mailing Address3909 Woodley RdToledo, OH 43606-1169

Phone(419) 352-5387

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateMay 23, 2014

Last NPPES UpdateMay 1, 2026

NPPES CertifiedMay 1, 2026

✔ NPI 1801208962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0808X

License✔ Licensed in OH · COA.15858-NS

1010 N PROSPECT ST, Bowling Green, OH 43402

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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, CareSource, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeline A Macdonald Pmhcnc-bc 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 ID3870713258

PECOS Enrollment IDI20141007001462

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

76 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

43 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43402 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

RICHERA J BROWN

Case Manager/Care Coordinator