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

Madeline Wallenburg, PA-C

Individual provider Physician Assistant · NPI 1891462032

Madeline Wallenburg, PA-C is a Physician Assistant in Saint Louis Park, Minnesota. Qualified in 2022, 4 years ago. Practices with Atrium Health Neurospine Network LLC, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and North Carolina.

Years since qualifying
4
Licensed in
MN, NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3931 Louisiana Ave S
Saint Louis Park, MN 55426-4375
Phone: (952) 993-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 Baldwin Ave, Charlotte, NC 28204-3109 — (704) 376-1605

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15758 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 0010-15466 (NC)

Record details

NPI number1891462032
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2021
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Atrium Health Neurospine Network Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Louis Park