Madeline Wallenburg, PA-C
NPI 1891462032ActiveIndividual· Physician Assistant· Saint Louis Park, MN
Physician Assistant (PA-C) with Park Nicollet Clinic and 1 other group, practicing in Saint Louis Park, Minnesota. 97 Medicare patients in 2024, $9,621 paid; all of their 213 Part D prescriptions were generic. Boston Scientific Corporation reported $252.08 in payments in 2025, mostly food and beverage. Lists Atrium Health Pineville and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1891462032 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 25, 2021 |
| Last updated in NPPES | Jun 11, 2026 |
| Certified by provider | Jun 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 15758 | MN |
| Physician Assistant | 363A00000X | 0010-15466 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (NC); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 97 |
|---|---|
| Services billed | 166 across 45 procedure codes |
| Paid by Medicare | $9,621 |
Part D prescriptions in 2024
| Prescriptions (claims) | 213 · 220 30-day fills |
|---|---|
| Patients | 106 |
| Total drug cost | $2,590 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
- Atrium Health Neurospine Network LLCHuntersville, NC · 121 clinicians
Hospital affiliations
- Atrium Health PinevilleCharlotte, NC
- Carolinas Medical Center/Behav HealthCharlotte, NC
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Industry payments (Open Payments)
- 2025$252.08 · 2 payments from 1 company
- 2024$19.35 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $252.08 | 2 |
What the 2025 payments were for
- Food and Beverage$252.08 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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