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

Madysen Michelle McCormick

Individual provider Physician Assistant · NPI 1376266791

Madysen Michelle McCormick is a Physician Assistant in Maplewood, Minnesota. Qualified in 2024, 2 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2022
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Practice location Address checks out

2165 White Bear Ave N
Maplewood, MN 55109-2707
Phone: (651) 523-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15037 (MN)

Record details

NPI number1376266791
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2022
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address200 1st St Sw, Rochester, MN 55905-0001

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 Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Maplewood