DAVID J MADIGAN CRNA
NPI 1922190115
Nurse Anesthetist, Certified Registered in Sheboygan, WI

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
2629 N 7TH ST, SHEBOYGAN, WI 53083(920) 451-5588 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David J Madigan Crna NPPES

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

DAVID J MADIGAN CRNA (NPI 1922190115) is an individual nurse anesthetist, certified registered in Sheboygan, Wisconsin, licensed in Wisconsin (1636) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1922190115
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDAVID J MADIGANCredential: CRNA
Location Address2629 N 7TH STSheboygan, WI 53083-4932
Mailing Address2414 Kohler Memorial DrSheboygan, WI 53081-3129 · (920) 457-4461
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 28, 2006
Last NPPES UpdateNovember 24, 2021
NPPES CertifiedNovember 24, 2021
✔ NPI 1922190115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in WI · 1636✔ Licensed in OH · RN 344285
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2629 N 7TH ST, Sheboygan, WI 53083

Other Identifiers 1

Medicaid43388100WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David J Madigan Crna 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 ID5294727848
PECOS Enrollment IDI20040401001487
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

4

Medicare enrollment records show David Madigan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Anesthesiology
3100 SUPERIOR AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 26 clinicians in this Medicare group
Vascular & Interventional Radiology
1441 N TAYLOR DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 15 clinicians in this Medicare group
Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
18 services18 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53083 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Specialist/Technologist (Athletic Trainer)
2629 N 7TH ST
SHEBOYGAN, WI 53083
Pathology (Anatomic Pathology & Clinical Pathology)
2629 N 7TH ST
SHEBOYGAN, WI 53083
Specialist/Technologist (Athletic Trainer)
2629 N 7TH ST
SHEBOYGAN, WI 53083
Occupational Therapist
2629 N 7TH ST
SHEBOYGAN, WI 53083
Occupational Therapist
2629 N 7TH ST
SHEBOYGAN, WI 53083
Radiology (Diagnostic Radiology)
2629 N 7TH ST
SHEBOYGAN, WI 53083
Physical Therapy Assistant
2629 N 7TH ST
SHEBOYGAN, WI 53083
Durable Medical Equipment & Medical Supplies
2629 N 7TH ST
SHEBOYGAN, WI 53083

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 David Madigan's NPI number?

The NPI number for David Madigan is 1922190115. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is David Madigan located?

David Madigan practices at 2629 N 7th St, Sheboygan, WI 53083. The listed phone number is (920) 451-5588.

What is David Madigan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is David Madigan enrolled in Medicare?

Yes. David Madigan 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.

Which organizations bill Medicare for David Madigan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Madigan reassigns Medicare benefits to 4 organizations: Aurora Medical Group, Inc. (Sheboygan, WI), Anesthesiology Associates Of Sheboygan, Ltd. (Sheboygan, WI), Third Coast Vascular Sc (Sheboygan, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI). 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 David Madigan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Madigan accept?

Health plans from CareSource (Common Ground Healthcare) list David Madigan 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 David Madigan affiliated with any hospitals?

According to CMS data, David Madigan is affiliated with Aurora Health Care Central Inc.

When was this NPI record last updated?

The NPPES record for David Madigan was last updated on November 24, 2021. 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.