MEDICARE: MADELYN RAE JOHNSON RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC1500X	Community Health Registered Nurse	RN10022851	MA

General Provider Information

NPI Number	:	1184579914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELYN RAE JOHNSON RN

Provider Business Mailing Address
First Line	:	473 SUMNER AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01108-2321
Country	:	US
Telephone Number	:	413-739-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	473 SUMNER AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01108-2321
Country	:	US
Telephone Number	:	413-739-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1699747014 — MS. CARMEN SMIDY CNM
Practice Location Address:

473 SUMNER AVE , MERCY CARE - FOREST PARK
SPRINGFIELD, MA
01108-2321

Practice Phone: 413-886-0410
Practice Fax: 413-886-0420

1588629240 — DR. AKINNIYI BABASOLA ODUTOLA M.D.
Practice Location Address:

475 SUMNER AVE
SPRINGFIELD, MA
01108-2321

Practice Phone: 413-241-6152
Practice Fax: 413-241-6153

1528221629 — NORTHEND MEDICAL ASSOCIATES INC
Practice Location Address:

475 SUMNER AVE
SPRINGFIELD, MA
01108-2321

Practice Phone: 413-241-6152
Practice Fax: 413-241-6153

1033359344 — GOODWILL INDUSTRIES OF THE SPRINGFIELD/HARTFORD AREA, INC.
Practice Location Address:

475 SUMNER AVE
SPRINGFIELD, MA
01108-2321

Practice Phone: 413-788-6984
Practice Fax: 413-304-2682

1053014365 — CARING HEALTH CENTER, INC.
Practice Location Address:

473 SUMNER AVE
SPRINGFIELD, MA
01108-2321

Practice Phone: 413-739-1100
Practice Fax:

Directions to “ MADELYN RAE JOHNSON RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.