KRISTEN E MADDEN NP
NPI 1699762716
Nurse Practitioner in Dartmouth, MA
NPI Status: Active since October 04, 2005
Contact Information
531 FAUNCE CORNER RD
DARTMOUTH, MA
ZIP 02747
Phone: (508) 996-3991
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About KRISTEN MADDEN
This page provides the complete NPI Profile along with additional information for Kristen Madden, a provider established in Dartmouth, Massachusetts with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1699762716 assigned on October 2005. The practitioner's primary taxonomy code is 363L00000X with license number RN196200 (MA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1699762716
- Provider Name
- KRISTEN E MADDEN NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 531 FAUNCE CORNER RD DARTMOUTH, MA 02747
- Location Phone
- (508) 996-3991
- Mailing Address
- 531 FAUNCE CORNER RD DARTMOUTH, MA 02747
- Mailing Phone
- (508) 996-3991
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-04-2005
- Last Update Date
- 04-25-2023
- Code Navigator
A nurse practitioner (NP) like Kristen Madden is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN196200
- License State
- MA
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | RN35392 (RI) |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 196200 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kristen Madden is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02747 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Documentation of Current Medications in the Medical Record | 100% | 48 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 99% | 998 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 100% | 224 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 96% | 1474 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 62% | 61 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% | 23 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 71% | 1474 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 13% | 1474 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 7 | 6 | 2 | 7 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 14 | 6 | 4 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 4 + 6 + 4 + 7 + 2 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1699762716 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679560791 | DR. EARL POTTS JR. MD Individual | Internal Medicine | 531 FAUNCE CORNER RD N DARTMOUTH, MA 02747 (508) 996-3991 |
| 1881682979 | KATHLEEN A SILVA PA Individual | Physician Assistant | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1295722312 | DR. GILLIAN J SIMMONS MD Individual | Pediatrics | 531 FAUNCE CORNER RD SECOND FLOOR DARTMOUTH, MA 02747 (508) 996-3991 |
| 1427037662 | SCOTT HENDERSON M.D. Individual | Internal Medicine | 531 FAUNCE CORNER RD N DARTMOUTH, MA 02747 (508) 996-3991 |
| 1366418360 | RICHARD W. REIMER M.D. Individual | Internal Medicine | 531 FAUNCE CORNER RD NORTH DARTMOUTH, MA 02747 (508) 996-3991 |
| 1255307211 | ELENI RETHIMIOTAKIS MD Individual | Family Medicine (Adult Medicine) | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1992774343 | MICHAEL J. MITCHELL MD Individual | Internal Medicine | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1073580148 | REBECCA CHASE F.N.P. Individual | Nurse Practitioner (Family) | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1023258902 | KAREN LYNNE REZENDES N.P. Individual | Nurse Practitioner (Adult Health) | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1649780909 | KELSEY L. CEVEN FNP Individual | Nurse Practitioner (Family) | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1003215633 | MELISSA K BOTELHO P.N.P. Individual | Nurse Practitioner (Pediatrics) | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1265981682 | KELLY ERIN STONE NP Individual | Nurse Practitioner (Adult Health) | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1558366419 | DR. CHRISTIAN S POPE D.O. Individual | Obstetrics & Gynecology | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1326015496 | MARY R DIAS-REGUS NP Individual | Nurse Practitioner (Adult Health) | 531 FAUNCE CORNER RD NORTH DARTMOUTH, MA 02747 (508) 996-3991 |
| 1982907879 | DR. ALEXANDRA SOPHOCLES RUGGIERO M.D. Individual | Family Medicine | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1669769667 | TESSA LEIGH KRAMER PSYD Individual | Psychologist (Clinical) | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1770081333 | REBECCA A MOREIRA CPNP Individual | Nurse Practitioner (Pediatrics) | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1265944227 | COURTNEY R NEVES PA-C Individual | Physician Assistant | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1720187164 | ELIZABETH KEITH NP Individual | Nurse Practitioner | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
| 1487641502 | DR. DILMA H SILVA MD Individual | Internal Medicine | 531 FAUNCE CORNER RD DARTMOUTH, MA 02747 (508) 996-3991 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699762716, enumerated in the NPI registry as an "individual" on October 04, 2005
The provider is located at 531 Faunce Corner Rd Dartmouth, Ma 02747 and the phone number is (508) 996-3991
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.7 with an average copayment of $22.67 for new patient appointments. Established patients should expect a typical charge of $103.48 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 04, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.