DR. MADISON PETERSEN (DC) – Chiropractor, NPI 1689388340

DR. MADISON PETERSEN (DC) is a healthcare provider. based in Daytona beach, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. F1-0011170 (DE). The NPI Number for DR. MADISON PETERSEN (DC) is 1689388340

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. MADISON PETERSEN (DC)
NPI
1689388340
Phone
(623) 523-2900
Address
280 BRAEBURN CIR
Enumeration Date
9 January 2023
Last Update Date
6 April 2026

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
9048238833
Graduation Year
2022 (4 years ago)
PAC ID
2961874664
Group Practice PAC ID
0042207565
Professional Enrollment ID
I20230206002706
Address ID
FL320866194SA2550XSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for DR. MADISON PETERSEN (DC)

  • 280 BRAEBURN CIR

    DAYTONA BEACH, FL 321147188

    Phone: (623) 523-2900

    Type: Mailing

  • 570 MEMORIAL CIR STE 100

    ORMOND BEACH, FL 321745063

    Phone: (386) 236-9765

    Type: Location

  • 179 W CHESTNUT HILL RD STE 1

    NEWARK, DE 197132210

    Phone: (302) 453-4043

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-02-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230206002706IChiropracticFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 32114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042207565View full group profile
NameSpecialtyState
-FL
C H I R O P R A C T I CFL

Reviews

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Frequently asked questions

What is DR. MADISON PETERSEN (DC)'s NPI number?
DR. MADISON PETERSEN (DC)'s NPI is 1689388340 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. MADISON PETERSEN (DC)?
For scheduling context, DR. MADISON PETERSEN (DC) is shown as active in the registry.
What clinical focus is listed for DR. MADISON PETERSEN (DC)?
At a glance, DR. MADISON PETERSEN (DC) is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MADISON PETERSEN (DC)?
Directory geography for DR. MADISON PETERSEN (DC) centers on Daytona Beach, Florida.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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