NICHELLE MADDEN D.O.
NPI 1952793408
Dermatology in Phoenix, AZ

Active since February 20, 2015PECOS EnrolledAccepts Medicare Assignment
73.26/100
CMS Quality Rating
5056 N CENTRAL AVE, PHOENIX, AZ 85012(602) 222-9111(602) 222-9333 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2020, Sep 16, 2020, Jul 16, 2018 (3 updates tracked since 2018).

About Nichelle Madden D.o. NPPES

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

NICHELLE MADDEN D.O. (NPI 1952793408) is an individual dermatology provider in Phoenix, Arizona, licensed in Arizona (008662) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2014).

NPPES Registry Identity

NPI1952793408
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameNICHELLE MADDENCredential: D.O.
Location Address5056 N CENTRAL AVEPhoenix, AZ 85012-1521
Mailing Address5056 N Central AvePhoenix, AZ 85012-1521 · (602) 222-9111 · Fax (602) 222-9333
Fax(602) 222-9333
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2014
Enumeration DateFebruary 20, 2015
Last NPPES UpdateOctober 1, 20203 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
NPI 1952793408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in AZ · 008662 Licensed in FL · OS1482
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5056 N CENTRAL AVE, Phoenix, AZ 85012

Other Names 1

Former Name (1)Nichelle Arnold

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

Nichelle Madden D.o. 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 ID7517270804
PECOS Enrollment IDI20200813001625
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 21

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
346 services50 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
195 services136 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
100 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services75 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
93 services72 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.
91 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

73.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.35
Improvement Activities40
Cost83.73

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%257 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%235 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%235 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Physician Assistant
5056 N CENTRAL AVE
PHOENIX, AZ 85012
Physician Assistant
5056 N CENTRAL AVE
PHOENIX, AZ 85012
Dermatology
5056 N CENTRAL AVE
PHOENIX, AZ 85012
Physician Assistant
5056 N CENTRAL AVE
PHOENIX, AZ 85012
Physician Assistant
5056 N CENTRAL AVE
PHOENIX, AZ 85012
Dermatology
5056 N CENTRAL AVE
PHOENIX, AZ 85012
Physician Assistant
5056 N CENTRAL AVE
PHOENIX, AZ 85012
Nurse Practitioner (Family)
5056 N CENTRAL AVE
PHOENIX, AZ 85012

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 Nichelle Madden's NPI number?

The NPI number for Nichelle Madden is 1952793408. It was assigned to this individual provider in the NPPES registry on February 20, 2015. The provider is also known as Nichelle Arnold.

Where is Nichelle Madden located?

Nichelle Madden practices at 5056 N Central Ave, Phoenix, AZ 85012. The listed phone number is (602) 222-9111.

What is Nichelle Madden's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Nichelle Madden enrolled in Medicare?

Yes. Nichelle Madden 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 Nichelle Madden accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Nichelle Madden 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.

When was this NPI record last updated?

The NPPES record for Nichelle Madden was last updated on October 1, 2020. 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.