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MADELYN WALLACE PA-C
NPI 1952288219
Physician Assistant in Upper Chichester, PA

Active since August 19, 2025PECOS Enrolled
4015 CHICHESTER AVE, UPPER CHICHESTER, PA 19061(610) 494-4422 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2025, Sep 1, 2025 (2 updates tracked since 2025).

About Madelyn Wallace Pa-c NPPES

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

MADELYN WALLACE PA-C (NPI 1952288219) is an individual physician assistant in Upper Chichester, Pennsylvania and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1952288219
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELYN WALLACECredential: PA-C
Location Address4015 CHICHESTER AVEUpper Chichester, PA 19061-3138
Mailing Address4015 Chichester AveUpper Chichester, PA 19061-3138 · (610) 494-4422
Phone(610) 494-4422
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 19, 2025
Last NPPES UpdateOctober 12, 20252 updates tracked since enumeration
NPPES CertifiedOctober 12, 2025
✔ NPI 1952288219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4015 CHICHESTER AVE, Upper Chichester, PA 19061
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madelyn Wallace Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42717951
PECOS Enrollment IDI20251008000139
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19061 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 4

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

JACKIE LINH PA-C
Physician Assistant
4015 CHICHESTER AVE
UPPER CHICHESTER, PA 19061
Delaware County (610) 494-4422
JOANNA CARLSEN MILDER PA-C
Physician Assistant
4015 CHICHESTER AVE
UPPER CHICHESTER, PA 19061
Delaware County (610) 506-8297
JOEL SAMUEL GOLDBERG DO
Family Medicine
4015 CHICHESTER AVE
UPPER CHICHESTER, PA 19061
Delaware County (610) 494-4422
JOEL S. GOLDBERG
Family Medicine
4015 CHICHESTER AVE
BOOTHWYN, PA 19061
Delaware County (610) 404-4422

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 Madelyn Wallace's NPI number?

The NPI number for Madelyn Wallace is 1952288219. It was assigned to this individual provider in the NPPES registry on August 19, 2025.

Where is Madelyn Wallace located?

Madelyn Wallace practices at 4015 Chichester Ave, Upper Chichester, PA 19061. The listed phone number is (610) 494-4422.

What is Madelyn Wallace's specialty?

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

Is Madelyn Wallace enrolled in Medicare?

Yes. Madelyn Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madelyn Wallace was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.