Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madeline Ustanik

Individual provider Physician Assistant · NPI 1003665290

Madeline Ustanik is a Physician Assistant in Davidson, North Carolina. Qualified in 2024, 2 years ago. Practices with Iredell Physician Network LLC, a 89-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

13235 Robert Walker Dr
Davidson, NC 28036-6005
Phone: (607) 438-0748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 653 Bluefield Rd Ste A, Mooresville, NC 28117-9626 — (704) 360-6460
  • 1540 E Broad St, Statesville, NC 28625-4302 — (704) 380-6900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1003665290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2024
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address13235 Robert Walker Dr, Davidson, NC 28036-6005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Iredell Physician Network Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Davidson