MADISON ANNE ELDRED PA
NPI 1801508593
Physician Assistant in Norton Shores, MI

Active since December 14, 2022PECOS EnrolledAccepts Medicare Assignment
6225 PRAIRIE ST, NORTON SHORES, MI 49444(231) 798-9500(231) 798-9533 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Anne Eldred Pa NPPES

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

MADISON ANNE ELDRED PA (NPI 1801508593) is an individual physician assistant in Norton Shores, Michigan, licensed in Michigan (5601011489) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1801508593
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON ANNE ELDREDCredential: PA
Location Address6225 PRAIRIE STNorton Shores, MI 49444-7831
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(231) 798-9533
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 14, 2022
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
NPI 1801508593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601011489
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6225 PRAIRIE ST, Norton Shores, MI 49444

Secondary Practice Location 1

Location 1650 3 Mile Rd NW Ste 100Grand Rapids, MI 49544-1624 · Phone (616) 784-9300 · Fax (616) 784-9308

Accepted 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

Madison Anne Eldred Pa 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 ID345605713
PECOS Enrollment IDI20230509000375
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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
172 services47 patients
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.
106 services86 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.
105 services92 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
84 services76 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
67 services63 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
55 services47 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 7

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

Dermatology
6225 PRAIRIE ST
NORTON SHORES, MI 49444
Physician Assistant
6225 PRAIRIE ST
NORTON SHORES, MI 49444
Dermatology
6225 PRAIRIE ST
NORTON SHORES, MI 49444
Dermatology (Procedural Dermatology)
6225 PRAIRIE ST
NORTON SHORES, MI 49444
Physician Assistant (Medical)
6225 PRAIRIE ST
NORTON SHORES, MI 49444
Dermatology
6225 PRAIRIE ST
NORTON SHORES, MI 49444
Dermatology
6225 PRAIRIE ST
NORTON SHORES, MI 49444

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 Eldred's NPI number?

The NPI number for Madison Eldred is 1801508593. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Madison Eldred located?

Madison Eldred practices at 6225 Prairie St, Norton Shores, MI 49444. The listed phone number is (231) 798-9500.

What is Madison Eldred's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madison Eldred enrolled in Medicare?

Yes. Madison Eldred 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.

What insurance does Madison Eldred accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Madison Eldred 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 Madison Eldred affiliated with any hospitals?

According to CMS data, Madison Eldred is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Madison Eldred was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.