MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW) – Psychiatric/Mental Health Nurse Practitioner, NPI 1427399377

MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW) is a healthcare provider. based in Lansdowne, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP, LCSW. They hold a License No. CW017538 (PA). The NPI Number for MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW) is 1427399377

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW)
NPI
1427399377
Phone
(610) 368-7737
Address
145 E GREENWOOD AVE
Enumeration Date
1 March 2013
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6107968110
Graduation Year
2025 (1 year ago)
PAC ID
9436429321
Group Practice PAC ID
1759359540
Professional Enrollment ID
I20250812001535
Address ID
PA196071364SH527XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW)

  • 145 E GREENWOOD AVE

    LANSDOWNE, PA 190501621

    Phone: (610) 368-7737

    Type: Location

  • 145 E Greenwood Ave

    Lansdowne, PA 190501621

    Phone: (610) 368-7737

    Type: Location

  • 527 E LANCASTER AVE

    SHILLINGTON, PA 196071364

    Phone: (610) 796-8110

    Fax: (610) 796-9130

    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: 2025-08-12

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
I20250812001535INurse PractitionerPATBD

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 19050)

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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: 1759359540View full group profile
NameSpecialtyState
-NC
Clinical Social WorkerPA
-PA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Nurse PractitionerPA
-PA

Reviews

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Frequently asked questions

Can I cross-check MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW) using NPI 1427399377?
NPI 1427399377 belongs to MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW); compare other details if you need extra assurance.
Is there an active status for MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW)?
For scheduling context, MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW) is shown as active in the registry.
How would a patient describe MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW)'s focus?
For MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW) registered?
Use Lansdowne, Pennsylvania as the headline location for MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW) here.
When was this NPI issued?
Enumeration for MRS. RAEQUEL ALLYSSA MADARA (PMHNP, LCSW) is noted as March 1, 2013 where the registry provides it.

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