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MADELINE NICAELA EMANUEL MS, RD
NPI 1922676428
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since June 12, 2021
2265 COMO AVE, SAINT PAUL, MN 55108(651) 645-5323 Get Directions Write a Review

NPPES record last updated: June 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madeline Nicaela Emanuel Ms, Rd NPPES

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

MADELINE NICAELA EMANUEL MS, RD (NPI 1922676428) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1922676428
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMADELINE NICAELA EMANUELCredential: MS, RD
Location Address2265 COMO AVESaint Paul, MN 55108-1737
Mailing Address6725 York Ave S Apt 341Edina, MN 55435-3226 · (952) 607-7463
Phone(651) 645-5323
Sole ProprietorNo
Enumeration DateJune 12, 2021
NPPES CertifiedJune 12, 2021
✔ NPI 1922676428 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.
2265 COMO AVE, Saint Paul, MN 55108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeline Nicaela Emanuel Ms, Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Madeline Emanuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emily Program P C
Same address
Mental Health (Including Community Mental Health Center)
2265 COMO AVENUE, SUITE 100
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota enrollment
  • 121 clinicians in this Medicare group
NPI 1528165065 (866) 364-5977

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

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.

MICHAEL HILMAR WAGNER R.D., L.D.
Nutritionist
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
MISS KELLY PERTZSCH MA
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5325
STEFANIE KAITLYN JENSEN RD, LD
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
KRISTA WANOUS MA, MFT, AT
Student in an Organized Health Care Education/Training Program
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINNEA MCCOSH
Marriage & Family Therapist
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
ARIEL SYVERTSON
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
DEANNA MILLER
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINDSEY STIYER RD
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323

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 Emanuel's NPI number?

The NPI number for Madeline Emanuel is 1922676428. It was assigned to this individual provider in the NPPES registry on June 12, 2021.

Where is Madeline Emanuel located?

Madeline Emanuel practices at 2265 Como Ave, Saint Paul, MN 55108. The listed phone number is (651) 645-5323.

What is Madeline Emanuel's specialty?

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

Is Madeline Emanuel enrolled in Medicare?

Yes. Madeline Emanuel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madeline Emanuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Emanuel reassigns Medicare benefits to Emily Program P C (St Paul, MN). The 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 Madeline Emanuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madeline Emanuel was last updated on June 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.