MADISON FADDIS (DNP, FNP-C) – Family Nurse Practitioner, NPI 1073397907

MADISON FADDIS (DNP, FNP-C) is a healthcare provider. based in Overland park, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-C. They hold a License No. 53-83293-121 (KS). The NPI Number for MADISON FADDIS (DNP, FNP-C) is 1073397907

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MADISON FADDIS (DNP, FNP-C)
NPI
1073397907
Phone
Not provided
Address
8505 COLLEGE BLVD
Enumeration Date
22 August 2023
Last Update Date
23 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9135413230
Graduation Year
2024 (2 years ago)
PAC ID
8527502806
Group Practice PAC ID
4082046412
Professional Enrollment ID
I20240627001395
Address ID
KS662101836OV8505XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:2State licenses:2Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for MADISON FADDIS (DNP, FNP-C)

  • 8505 COLLEGE BLVD

    OVERLAND PARK, KS 662101836

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $698.

Total Amount is formed as General ($698) + Research ($0) + Ownership ($0) = $698.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($126).

Total Amount

$698

General + Research + Ownership

Payments

31

Total payment records

General Amount

$698

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-27

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
I20240627001395INurse PractitionerKSTBD

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 66210)

Loading plans...

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: 4082046412View full group profile
NameSpecialtyState
Nurse PractitionerKS
D E R M A T O L O G YKS
Nurse PractitionerMO
Dermatology, Micrographic Dermatologic Surgery (Mds)MO
-KS
Physician AssistantKS
Physician AssistantMO
Physician AssistantMO
D E R M A T O L O G YMO
D E R M A T O L O G YMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm MADISON FADDIS (DNP, FNP-C)'s NPI?
Yes. MADISON FADDIS (DNP, FNP-C) is listed with NPI 1073397907 in the public NPI dataset.
Is MADISON FADDIS (DNP, FNP-C) listed as active for patients and plans?
The listing shows MADISON FADDIS (DNP, FNP-C) as active in the NPI system.
What is MADISON FADDIS (DNP, FNP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for MADISON FADDIS (DNP, FNP-C) here. Clinical services aligned with this taxonomy classification.
Does MADISON FADDIS (DNP, FNP-C) list a practice location?
Patients near Overland Park, Kansas may find MADISON FADDIS (DNP, FNP-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

MR. MICHAEL PATRICK HERRIGES (ARNP-C)

Family Nurse Practitioner
34870, West 359th Street, Osawatomie, Miami County, Kansas, 66064, United States
NPI: 1780686915

DR. SUSAN DIANE SIMMONS (ARNP, PHD)

Family Nurse Practitioner
10452, Conser Street, Overland Park, Johnson County, Kansas, 66212, United States
NPI: 1386640340

CYPRESS LASALLE (APRN)

Family Nurse Practitioner
10601, Quivira Road, Overland Park, Johnson County, Kansas, 66215, United States
NPI: 1891797270

SHERRIS H BELLAMY (ARNP)

Family Nurse Practitioner
6525, West 100th Terrace, Nall Hills West, Overland Park, Johnson County, Kansas, 66212, United States
NPI: 1659367183

DAVID WIECZERZYNSKI (NP)

Family Nurse Practitioner
120 Gardenville Pkwy W
NPI: 1184608648
12330 Metcalf Ave
NPI: 1710958590

MARCIA CONWAY (ARNP-C)

Family Nurse Practitioner
FIVE TOWER BRIDGE, 300 BARR HARBOR DR
NPI: 1538130315

MISS SHARI J FISHER (FNP)

Family Nurse Practitioner
West 135th Street, Overland Park, Johnson County, Kansas, 66221, United States
NPI: 1003880568
Shawnee Mission Medical Building, 9119, West 74th Street, Merriam, Johnson County, Kansas, 66204, United States
NPI: 1700850328