MADISON R MALMQUIST (PA-C) – Physician Assistant, NPI 1215508114

MADISON R MALMQUIST (PA-C) is a healthcare provider. based in El paso, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA14751 (TX). The NPI Number for MADISON R MALMQUIST (PA-C) is 1215508114

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MADISON R MALMQUIST (PA-C)
NPI
1215508114
Phone
(915) 215-4600
Address
4815 Alameda Ave
Enumeration Date
2 July 2021
Last Update Date
7 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7063220304
Graduation Year
2021 (5 years ago)
PAC ID
4880078112
Group Practice PAC ID
1951399724
Professional Enrollment ID
I20231130003356
Address ID
GA319046818CO3934XRDXX300
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

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MADISON R MALMQUIST (PA-C)

  • 4815 Alameda Ave

    El Paso, TX 799052705

    Phone: (915) 215-4600

    Fax: (915) 545-7338

    Type: Location

  • 9240 Guilbeau Rd Ste 128

    San Antonio, TX 782503091

    Phone: (210) 681-4685

    Type: Location

  • 2122 MANCHESTER EXPY

    COLUMBUS, GA 319046878

    Phone: (706) 596-4000

    Type: Mailing

  • 9240 GUILBEAU RD STE 128

    SAN ANTONIO, TX 782503091

    Phone: (210) 681-4685

    Type: Mailing

  • 4815 ALAMEDA AVE

    EL PASO, TX 799052705

    Phone: (915) 215-4600

    Fax: (915) 545-7338

    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: 2023-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220905000252IPhysician AssistantTXTBD
I20231130003356IPhysician AssistantGATBD

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
99285Emergency department visit with high level of medical decision making1616$0
99284Emergency department visit with moderate level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 79905)

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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: 1951399724View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
Internal MedicineGA
Physical Therapist In Private PracticeGA
Nurse PractitionerGA
Family PracticeGA
Family PracticeGA
Family PracticeGA
-GA
-GA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MADISON R MALMQUIST (PA-C)?
MADISON R MALMQUIST (PA-C) — NPI 1215508114 — is the standard way to identify this listing.
Can I rely on MADISON R MALMQUIST (PA-C) being an active provider?
As of the registry snapshot, MADISON R MALMQUIST (PA-C) is marked active.
What is MADISON R MALMQUIST (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MADISON R MALMQUIST (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is MADISON R MALMQUIST (PA-C) based?
MADISON R MALMQUIST (PA-C) is tied to El Paso, Texas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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