MADISON LEIGH FALLIS
NPI 1831979491
Student in an Organized Health Care Education/Training Program in O Fallon, IL

Q: What is Madison Fallis's NPI number?

The NPI number for Madison Fallis is 1831979491. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Q: What is Madison Fallis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Fallis was last updated on December 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 02, 2023PECOS Enrolled

3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 256-9355(618) 206-2332 Get Directions Write a Review

NPPES record last updated: December 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2024, Oct 2, 2023 (2 updates tracked since 2023).

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About Madison Leigh Fallis NPPES

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

MADISON LEIGH FALLIS (NPI 1831979491) is an individual student in an organized health care education/training program in O Fallon, Illinois and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1831979491

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMADISON LEIGH FALLIS

Location Address3 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1284

Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 256-9355 · Fax (618) 206-2332

Phone(618) 256-9355

Fax(618) 206-2332

Sole ProprietorNo

Enumeration DateOctober 2, 2023

Last NPPES UpdateDecember 15, 20242 updates tracked since enumeration

NPPES CertifiedDecember 15, 2024

✔ NPI 1831979491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269

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Secondary Practice Location 1

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (918) 582-1972

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Leigh Fallis 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.

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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.

MARA GRACE DOWNING MD

Student in an Organized Health Care Education/Training Program