MADELINE WALLENBURG PA-C
NPI 1891462032
Physician Assistant in Saint Louis Park, MN

Q: What is Madeline Wallenburg's NPI number?

The NPI number for Madeline Wallenburg is 1891462032. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Q: What is Madeline Wallenburg's specialty?

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

Active since August 25, 2021PECOS EnrolledAccepts Medicare Assignment

3931 LOUISIANA AVE S, SAINT LOUIS PARK, MN 55426(952) 993-3200 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 18, 2025, Feb 17, 2023, Sep 30, 2021 and 2 more (5 updates tracked since 2021).

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About Madeline Wallenburg Pa-c NPPES

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

MADELINE WALLENBURG PA-C (NPI 1891462032) is an individual physician assistant in Saint Louis Park, Minnesota, licensed in Minnesota (15758) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1891462032

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADELINE WALLENBURGCredential: PA-C

Location Address3931 LOUISIANA AVE SSaint Louis Park, MN 55426-4375

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(952) 993-3200

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 25, 2021

Last NPPES UpdateJune 11, 20265 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1891462032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MN · 15758✔ Licensed in NC · 0010-15466

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.

3931 LOUISIANA AVE S, Saint Louis Park, MN 55426

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Secondary Practice Location 1

Location 1225 Baldwin AveCharlotte, NC 28204-3109 · Phone (704) 376-1605

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Security Health Plan.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 Wallenburg Pa-c 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 ID1052778537

PECOS Enrollment IDI20251220000657, I20260618001431

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 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

28 services22 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.

20 services18 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340098

Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 20

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

CAMILLE ASHLEY SCHWARZROCK NP-C

Nurse Practitioner

3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3230

WILL C JENSEN MD

Internal Medicine (Pulmonary Disease)

3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426

Hennepin County (952) 993-3123

LESLIE PRATT

Obstetrics & Gynecology (Maternal & Fetal Medicine)

3931 LOUISIANA AVE S, STE E111
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5900

AMANDA J CALVIN MD

Internal Medicine (Pulmonary Disease)

3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3230

MARI M UUTALA LPC

Counselor (Professional)

3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426

Hennepin County (952) 993-3248

BROOKE RAEANNE VOGT PHYSICIAN ASSISTANT

Physician Assistant

3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426

Hennepin County (952) 993-3180

DORY L NEUROCK NP

Nurse Practitioner (Family)

3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3123

DR. MEILING HUA PARKER MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3230

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 Madeline Wallenburg's NPI number?

The NPI number for Madeline Wallenburg is 1891462032. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Madeline Wallenburg located?

Madeline Wallenburg practices at 3931 Louisiana Ave S, Saint Louis Park, MN 55426. The listed phone number is (952) 993-3200.

What is Madeline Wallenburg's specialty?

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

Is Madeline Wallenburg enrolled in Medicare?

Yes. Madeline Wallenburg 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 Madeline Wallenburg accept?

Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Madeline Wallenburg 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 Madeline Wallenburg affiliated with any hospitals?

According to CMS data, Madeline Wallenburg is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Madeline Wallenburg was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.