MEGAN JEAN MADOLE (NP) – Nurse Practitioner, NPI 1639609407

MEGAN JEAN MADOLE (NP) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704288386 (MI). The NPI Number for MEGAN JEAN MADOLE (NP) is 1639609407

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN JEAN MADOLE (NP)
NPI
1639609407
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
14 June 2017
Last Update Date
5 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
9537431796
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20170823000434
Address ID
MI495463808GR5060XSEXX401

Contacts

Secure Messaging
mmadole107503@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MEGAN JEAN MADOLE (NP)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 4069 Lake Dr SE Ste 315

    Grand Rapids, MI 495468816

    Phone: (616) 267-7700

    Type: Location

  • Lake Drive Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49546, United States

    GRAND RAPIDS, MI 495468816

    Phone: (616) 267-7700

    Type: Location

  • 1000 E PARIS AVE SE STE 100

    GRAND RAPIDS, MI 495463680

    Phone: (616) 459-3158

    Fax: (616) 742-6758

    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 $205.

Total Amount is formed as General ($205) + Research ($0) + Ownership ($0) = $205.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$205

General + Research + Ownership

Payments

4

Total payment records

General Amount

$205

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-08-23

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
I20170823000434INurse PractitionerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes131106$0
99213Established patient office or other outpatient visit, 20-29 minutes8059$0
36415Insertion of needle into vein for collection of blood sample4440$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2221$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2019$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the standard ID for MEGAN JEAN MADOLE (NP) in the U.S.?
In the U.S., MEGAN JEAN MADOLE (NP) is identified by NPI 1639609407.
Quick check: is MEGAN JEAN MADOLE (NP) active?
Public NPPES data shows MEGAN JEAN MADOLE (NP) with an active NPI status right now.
Which specialty label fits MEGAN JEAN MADOLE (NP)?
NPPES ties MEGAN JEAN MADOLE (NP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MEGAN JEAN MADOLE (NP) tied to Grand Rapids, Michigan?
If you are local to Grand Rapids, Michigan, MEGAN JEAN MADOLE (NP) may be relevant to your search.
Can I export MEGAN JEAN MADOLE (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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