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DR. KIRSTEN MADEA DO
NPI 1851788202
Pediatrics in Lynchburg, VA

Active since April 23, 2015PECOS Enrolled
COMMUNITY ACCESS NETWORK 800 5TH STREET, LYNCHBURG, VA 24502(434) 200-3366 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kirsten Madea Do NPPES

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

DR. KIRSTEN MADEA DO (NPI 1851788202) is an individual pediatrics provider in Lynchburg, Virginia, licensed in Virginia (0102205322) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851788202
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KIRSTEN MADEACredential: DO
Location AddressCOMMUNITY ACCESS NETWORK 800 5TH STREETLynchburg, VA 24502
Mailing Address306 Liberty View LnLynchburg, VA 24502-2291
Phone(434) 200-3366
Sole ProprietorNo
Enumeration DateApril 23, 2015
Last NPPES UpdateDecember 26, 2018
✔ NPI 1851788202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0102205322
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
COMMUNITY ACCESS NETWORK 800 5TH STREET, Lynchburg, VA 24502
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kirsten Madea Do 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 Reassignments

2

Medicare enrollment records show Kirsten Madea reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johnson Health Center
0.2 mi
Federally Qualified Health Center (FQHC)
320 FEDERAL ST
Lynchburg, VA 24504
  • Reassigned Medicare billing, Virginia enrollment
  • Also billed through NPI 1881102655 (Virginia)
  • 63 clinicians in this Medicare group
NPI 1316926538 (434) 947-5967
Privia Medical Group, LLC
150 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 24502 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Kirsten Madea's NPI number?

The NPI number for Kirsten Madea is 1851788202. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Kirsten Madea located?

Kirsten Madea practices at Community Access Network 800 5th Street, Lynchburg, VA 24502. The listed phone number is (434) 200-3366.

What is Kirsten Madea's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kirsten Madea enrolled in Medicare?

Yes. Kirsten Madea is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kirsten Madea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirsten Madea reassigns Medicare benefits to 2 organizations: Johnson Health Center (Lynchburg, VA) and Privia Medical Group, LLC (Arlington, VA). Each 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 Kirsten Madea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kirsten Madea accept?

Health plans from Oscar Health list Kirsten Madea 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 Kirsten Madea was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.