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

Madisen Kearney Koch

Individual provider Family Nurse Practitioner · NPI 1710823018

Madisen Kearney Koch is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2025, 1 year ago. Licensed in Rhode Island.

Years since qualifying
1
Licensed in
RI
In the registry since
2026

Practice location Address checks out

33 Staniford St Fl 1
Providence, RI 02905-3100
Phone: (401) 421-8800
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN05173 (RI)

Record details

NPI number1710823018
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Providence