MADELINE RUE MCDONALD FNP-C
NPI 1912554726
Nurse Practitioner - Family in Minneapolis, MN

Active since August 26, 2019PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
1415 LILAC DR N STE 190, MINNEAPOLIS, MN 55422(763) 267-8701(763) 231-9602 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2022, Nov 11, 2019, Aug 26, 2019 (3 updates tracked since 2019).

About Madeline Rue Mcdonald Fnp-c NPPES

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

MADELINE RUE MCDONALD FNP-C (NPI 1912554726) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (6812) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912554726
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADELINE RUE MCDONALDCredential: FNP-C
Location Address1415 LILAC DR N STE 190Minneapolis, MN 55422-4544
Mailing Address1415 Lilac Dr N Ste 190Golden Valley, MN 55422-4544 · (763) 267-8701
Fax(763) 231-9602
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 26, 2019
Last NPPES UpdateApril 8, 20223 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
NPI 1912554726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 6812
1415 LILAC DR N STE 190, Minneapolis, MN 55422

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

Madeline Rue Mcdonald Fnp-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 ID7113256173
PECOS Enrollment IDI20190917001629
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 6

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
115 services82 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
94 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
81 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services43 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
47 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Family Medicine (Geriatric Medicine)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Family Medicine
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Family)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Gerontology)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Adult Health)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Gerontology)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422

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 Mcdonald's NPI number?

The NPI number for Madeline Mcdonald is 1912554726. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Madeline Mcdonald located?

Madeline Mcdonald practices at 1415 Lilac Dr N Ste 190, Minneapolis, MN 55422. The listed phone number is (763) 267-8701.

What is Madeline Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Madeline Mcdonald enrolled in Medicare?

Yes. Madeline Mcdonald 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 Mcdonald accept?

Health plans from Medica list Madeline Mcdonald 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 Mcdonald affiliated with any hospitals?

According to CMS data, Madeline Mcdonald is affiliated with Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Madeline Mcdonald was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.