Madelyn Brooke Boggs is a Physician Assistant practicing in Fort Wayne, Indiana. The National Provider Identifier (NPI) is #1124796792, which was assigned on August 31, 2021, and the registration record was last updated on December 12, 2025. The practitioner's main practice location is at 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714; the contact telephone number is 2604255400, and the fax number is 2604255417. The primary taxonomy of Madelyn Brooke Boggs is Physician Assistant (363A00000X). Madelyn Brooke Boggs is licensed to practice in the state of Indiana (#10003440A).
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.
| NPI | 1124796792 |
| Entity Type | Individual |
| Provider Name | MS. MADELYN BROOKE BOGGS |
| Other Name |
MADELYN BROOKE MOSER (Former Name) |
| Gender | Female |
| Credential | PA |
| Other Credential | PA-C |
| Practice Address |
11141 Parkview Plaza Dr Ste 320 Fort Wayne IN 46845-1714 |
| Practice Telephone | 2604255400 |
| Practice Fax Number | 2604255417 |
| Mailing Address |
11109 Parkview Plaza Dr # 117 Fort Wayne IN 46845-1701 |
| Certification Date | 2025-12-12 |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2025-12-12 |
| Is Sole Proprietor | N |
| PAC ID |
5799174736 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | MADELYN B MOSER |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | PARKVIEW HEALTH SYSTEM INC |
| Address |
207 N Townline Rd Lagrange IN 46761-1325 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10003440A | IN |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: 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. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Columbia Metabolic Cinic | 1336 Nw Flanders St, Portland, OR 97209-2645 | Physician Assistant | 2026-04-10 |
| Sarah Madison Chalstrom | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | Physician Assistant | 2026-04-10 |
| Suzannah Jet Lipstein | 34 Maple St, Norwalk, CT 06850-3815 | Physician Assistant | 2026-04-10 |
| Belle Grove Physician Services, LLC | 351 Valley Health Way, Front Royal, VA 22630-3598 | Physician Assistant | 2026-04-10 |
| Cacapon Physician Services, PLLC | 363 Sunrise Blvd, Romney, WV 26757-4607 | Physician Assistant | 2026-04-10 |
| Martin Andres Vera | 650 Joel Dr, Fort Campbell, KY 42223-8355 | Physician Assistant | 2026-04-11 |
| Bar Forte Reznik | 1900 Matlock Rd Bldg 1, Mansfield, TX 76063-4391 | Physician Assistant | 2026-04-10 |
| Lillian Duval | 13710 St. Francis Boulevard, Tower C, Suite 505, Midlothian, VA 23114 | Physician Assistant | 2026-04-10 |
| Michelle Hanna Kantor | 341 Pierce Ct, Vernon Hills, IL 60061-1319 | Physician Assistant | 2026-04-11 |
| Katerina Vignau | 12330 Sw 22nd Ter, Miami, FL 33175-7701 | Physician Assistant | 2026-04-11 |
| Find all providers with the same taxonomy | |||
| Street Address |
11141 PARKVIEW PLAZA DR STE 320 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1714 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Katherine Margaret Fernandez · Katherine Margaret Lepley | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | General Practice Registered Nurse | 2022-08-25 |
| Tristan Ashford | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | Nurse Practitioner | 2025-10-16 |
| Kaitlyn A Henricks | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | Nurse Practitioner | 2025-06-10 |
| Johnnay Thompson | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | Urology Physician | 2026-01-08 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Nitin Chopra | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | Anesthesiology Physician | 2011-02-08 |
| Dmytro Orel | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | Student in an Organized Health Care Education/Training Program | 2021-04-09 |
| Joshua T Korte | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | Internal Medicine Physician | 2013-04-03 |
| Kaleigh Koler | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | Anesthesiologist Assistant | 2025-03-03 |
| Emma O'Connor · Emma Tracy | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | Anesthesiologist Assistant | 2024-02-22 |
| Shaun Hansel | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | Student in an Organized Health Care Education/Training Program | 2021-03-30 |
| Matthew John Tescula | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | Anesthesiology Physician | 2019-03-21 |
| Rebekah Diller · Rebekah Chatterjee | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | Anesthesiologist Assistant | 2025-12-01 |
| Amanda Mekota | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | Anesthesiologist Assistant | 2025-06-12 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Makayla Blain · Makayla Lawson | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | Nurse Practitioner | 2020-07-17 |
| Melissa Sue Ottenweller · Melissa Sue Meyer | 10528 Coldwater Rd, Fort Wayne, IN 46845-1268 | Family Nurse Practitioner | 2012-11-15 |
| Rachel Kiracofe · Rachel Ruch | 10528 Coldwater Rd, Fort Wayne, IN 46845-1268 | Physical Therapist | 2019-08-08 |
| Jenna Borchanian | 11707 Prato Cv, Fort Wayne, IN 46845-1384 | Occupational Therapist | 2019-07-17 |
| Jessie M Whiteman | 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 | Family Nurse Practitioner | 2018-07-22 |
| Nicole Alexandra Hagen | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | Physician Assistant | 2025-04-25 |
| Daniel Steven Miller | 10528 Coldwater Rd, Fort Wayne, IN 46845-1268 | Chiropractor | 2006-08-16 |
| Rylee Lynn Storms | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | Physician Assistant | 2025-01-17 |
| Walgreen Co | 10412 Coldwater Rd, Fort Wayne, IN 46845-1233 | Community/Retail Pharmacy | 2006-07-29 |
| Storm Bradley Vaughn | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 | Anesthesiologist Assistant | 2018-06-26 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Madelyn Brooke Snow | 632 Smith Hollow Rd, Wytheville, VA 24382-4874 | Registered Nurse | 2025-07-26 |
| Madelyn Wilcox · Madelyn Drumm | 3850 S National Ave Ste 600, Springfield, MO 65807-5230 | Registered Dietitian | 2019-08-27 |
| Madelyn Brooke Saunders | 5821 Fairview Rd Ste 101, Charlotte, NC 28209-5601 | Clinical Social Worker | 2025-08-05 |
| Madelyn Rau · Madelyn Siemer | 3003 Falling Leaf Ct, Columbia, MO 65201-3549 | Occupational Therapist | 2023-09-04 |
| Madelyn Pittard · Madelyn Kostielney | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | Pediatric Oncology Registered Nurse | 2024-09-25 |
| Madelyn Renee Cline · Madelyn Renee Strong | 245 Fountain Ct Ste 225, Lexington, KY 40509-2794 | Registered Nurse | 2025-03-25 |
| Madelyn Clark · Madelyn Bedgood | 6842 Main St, Frisco, TX 75033-4243 | Physician Assistant | 2025-11-19 |
| Madelyn Antle Martin · Madelyn Jayne Antle | 13582 Blackwater Rd, Baker, LA 70714-6800 | Social Worker | 2022-12-28 |
| Madelyn S Fossum · Madelyn S. Hirchert | 8550 Indian Hills Dr, Omaha, NE 68114-4070 | Mental Health Counselor | 2025-07-09 |
| Madelyn Huber · Madelyn Romano | 1200 Richland Dr Ste G, Waco, TX 76710-8001 | Physical Therapist | 2024-02-15 |
Do you have more infomration about Madelyn Brooke Boggs? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |