SERENA JO MADDEN (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1184399396

SERENA JO MADDEN (MSN, APRN, FNP-C) is a healthcare provider. based in Mahnomen, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-C. They hold a License No. 8396 (MN). The NPI Number for SERENA JO MADDEN (MSN, APRN, FNP-C) is 1184399396

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SERENA JO MADDEN (MSN, APRN, FNP-C)
NPI
1184399396
Phone
(218) 935-2514
Address
410 WEST FOURTH STREET
Enumeration Date
10 August 2021
Last Update Date
18 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183335000
Graduation Year
2021 (5 years ago)
PAC ID
2365825098
Group Practice PAC ID
5597725168
Professional Enrollment ID
I20220812003058
Address ID
MN566015114BE1611XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for SERENA JO MADDEN (MSN, APRN, FNP-C)

  • 410 WEST FOURTH STREET

    MAHNOMEN, MN 56557

    Phone: (218) 935-2514

    Type: Location

  • PO BOX 5074

    SIOUX FALLS, SD 571175074

    Phone:

    Type: Mailing

  • 1611 ANNE ST NW

    BEMIDJI, MN 566015114

    Phone: (218) 333-5000

    Type: Location

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: 2022-08-12

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
I20220812003058INurse PractitionerMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes303277$0
99214Established patient office or other outpatient visit, 30-39 minutes7471$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
69210Removal of impacted ear wax1616$0
View full utilization report →

Insurance plans in this area (ZIP 56557)

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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: 5597725168View full group profile
NameSpecialtyState
-MN
A N E S T H E S I O L O G YMN
Nurse PractitionerSD
-MN
Diagnostic RadiologyMN
N E U R O L O G YMN
-ND
-MN
O P T O M E T R YSD
Nurse PractitionerND

Reviews

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Frequently asked questions

Does SERENA JO MADDEN (MSN, APRN, FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SERENA JO MADDEN (MSN, APRN, FNP-C) uses 1184399396.
Is SERENA JO MADDEN (MSN, APRN, FNP-C) listed as active for patients and plans?
The listing shows SERENA JO MADDEN (MSN, APRN, FNP-C) as active in the NPI system.
What is SERENA JO MADDEN (MSN, APRN, FNP-C) best known for clinically?
Directory data describes SERENA JO MADDEN (MSN, APRN, FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SERENA JO MADDEN (MSN, APRN, FNP-C) based?
SERENA JO MADDEN (MSN, APRN, FNP-C) is tied to Mahnomen, Minnesota in the data we show; additional addresses may exist on the full record.
Why does SERENA JO MADDEN (MSN, APRN, FNP-C) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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