Individual provider

Madeline Pence, PHYSICIAN ASSISTANT

Physician Assistant Medicare enrolled

Madeline Pence, PHYSICIAN ASSISTANT is a Physician Assistant in Raleigh, NC, registered under NPI 1922774553.

Getting there

The practice address on file is 4201 LAKE BOOKE TRAIL STE 200, Raleigh, NC 27607. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4201 LAKE BOOKE TRAIL STE 200, Raleigh, NC 27607 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
5128 SC Physician Assistant primary
0010-15512 NC Physician Assistant

Licences are recorded in 2 states: SC, NC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
4587029921

Enrolled in Medicare 3 times, across 3 states:

StateEnrollment IDProvider type
Georgia I20230508001992 Practitioner - Physician Assistant
South Carolina I20240508001519 Practitioner - Physician Assistant
North Carolina I20250918004059 Practitioner - Physician Assistant

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. There are 3 separate enrolment records across 3 states (GA, SC, NC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: North Carolina and South Carolina. The practice address on file is in Raleigh, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NC North Carolina practice address
Licence
0010-15512
Specialty
Physician Assistant
Verify with the NC board →
SC South Carolina
Licence
5128
Specialty
Physician Assistant
Verify with the SC board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Physician Assistant covers

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant 5128 SC primary
363A00000X Physician Assistant 0010-15512 NC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1922774553 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 23, 2021
Last updatedMay 4, 2026
StatusActive
Sole proprietorNo
CredentialPHYSICIAN ASSISTANT
Practice address 4201 LAKE BOOKE TRAIL
STE 200
Raleigh, NC 27607
(919) 782-2152
Fax (919) 782-7929
Mailing address PO BOX 23329
New York, NY 10087
This record was updated on May 4, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1922774553 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 2 2 7 7 4 5 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 4 2 5 7 8 5 1

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1922774553?
NPI 1922774553 is the National Provider Identifier assigned to Madeline Pence, PHYSICIAN ASSISTANT in Raleigh, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In…
How do I contact Madeline Pence, PHYSICIAN ASSISTANT?
The phone number on file with NPPES is (919) 782-2152, last updated May 4, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Madeline Pence, PHYSICIAN ASSISTANT accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1922774553 a valid number?
Yes. 1922774553 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.