MADELINE RITA FASEN (DO) – Endocrinology, Diabetes & Metabolism Physician, NPI 1033613583
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
135 ENDOCRINOLOGY in CO
Provider Addresses for MADELINE RITA FASEN (DO)
12605 E 16th Ave
Aurora, CO 800452545
Phone: (303) 724-8098
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
800 WEST AVE S
LA CROSSE, WI 546018806
Phone: (608) 785-0940
Type: Location
West 8th Street, Springfield, Jacksonville, Duval County, Florida, 32209, United States
JACKSONVILLE, FL 322096511
Phone: (904) 383-1003
Fax: (904) 244-7388
Type: Mailing
12801 E 17TH AVE
AURORA, CO 800452530
Phone: (303) 724-8098
Type: Mailing
12605 E 16TH AVE
AURORA, CO 800452545
Phone: (303) 724-8098
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $340.
Total Amount is formed as General ($340) + Research ($0) + Ownership ($0) = $340.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Novo Nordisk Inc ($125).
Total Amount
$340
General + Research + Ownership
Payments
4
Total payment records
General Amount
$340
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $125 |
| Insulet Corporation | $125 |
| Dexcom, Inc. | $90 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240924001801 | I | Endocrinology | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| - | WI | |
| - | MN | |
| - | WI | |
| - | WI | |
| Cardiovascular Disease (Cardiology) | MN | |
| - | WI | |
| N E U R O S U R G E R Y | FL | |
| Nurse Practitioner | MN |
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