MADISON T MCILRATH DNP
NPI 1982484093
Nurse Practitioner in Iowa City, IA
About Madison T Mcilrath Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON T MCILRATH DNP (NPI 1982484093) is an individual nurse practitioner in Iowa City, Iowa, licensed in Iowa (A176584) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Iowa Hospital & Clinics, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
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
Madison T Mcilrath Dnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Madison Mcilrath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Iowa City, IA 52242
- Reassigned Medicare billing, Iowa enrollment
- 2,190 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Iowa Hospital & Clinics
Acute Care Hospitals · Iowa City, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
IOWA CITY, IA 52242
IOWA CITY, IA 52242
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 Madison Mcilrath's NPI number?
The NPI number for Madison Mcilrath is 1982484093. It was assigned to this individual provider in the NPPES registry on October 5, 2023.
Where is Madison Mcilrath located?
Madison Mcilrath practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-2421.
What is Madison Mcilrath's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Madison Mcilrath enrolled in Medicare?
Yes. Madison Mcilrath 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 organization bills Medicare for Madison Mcilrath's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madison Mcilrath reassigns Medicare benefits to State University Of Iowa (Iowa City, IA). 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 Madison Mcilrath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madison Mcilrath accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 other insurers list Madison Mcilrath 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 Madison Mcilrath affiliated with any hospitals?
According to CMS data, Madison Mcilrath is affiliated with University Of Iowa Hospital & Clinics.
When was this NPI record last updated?
The NPPES record for Madison Mcilrath was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Madison T Mcilrath, DNP · NPI 1982484093
Nurse Practitioner physician in Iowa City, Iowa. Individual provider, active in the CMS NPPES registry since October 5, 2023.
## Identity
- **NPI:** 1982484093 (Entity type: Individual)
- **Enumerated:** October 5, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** A176584 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 HAWKINS DR, Iowa City, IA 52242-1009
- **Phone:** (319) 356-2421
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State University Of Iowa (NPI 1114905387, Iowa City, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1982484093) · Data from the CMS NPPES public registry.