Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639986946 Individual Practitioner Female Practitioner

Madeline Bretzing , FNP

Nurse Practitioner • Ridgefield, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Madeline Bretzing, FNP is a certified Nurse Practitioner practicing in Ridgefield, WA. With approximately 1 years of clinical experience since completing medical education in 2025, Madeline Bretzing delivers high-quality medical care to the local community at 536 S ROYLE RD STE 120.

Madeline Bretzing is affiliated with Legacy Salmon Creek Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

536 S Royle Rd Ste 120

Ridgefield, WA 986427759

Telephone 3604871086
Fax 3604871088

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ridgefield, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs Matches City Avg
City Avg: 1.0 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Ridgefield, WA (2339 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bretzing (1 Years) 1 Yrs
Ridgefield Specialty Average (1.0 Years) 1.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP70048915

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WA AP70048915

Definition to come...

Hospital & Practice Group Affiliations

Legacy Salmon Creek Hospital

1000 Se Tech Ctr Dr, Vancouver, WA 986835548

Phone: 3602602773

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Candice Ketelsen , PA-C

Physician Assistant

NPI 1073040515

Physician Assistant (Certified)

Dr. Chad Spain , MD

Family Medicine

NPI 1093039521

Doctor of Medicine (M.D.)

Crystal Lewis , PA-C

Physician Assistant

NPI 1164116034

Physician Assistant (Certified)

NPI 1770243164

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location July 15, 2026

Registered at 536 S ROYLE RD STE 120, RIDGEFIELD, WA 986427759 (Tel: 3604871086)

📍
Updated Business Mailing Address July 15, 2026

Registered at 536 S ROYLE RD STE 120, RIDGEFIELD, WA 986427759 (Tel: 3604871086)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2026

Nurse Practitioner (License #AP70048915 in WA)

📍
Updated Practice Location November 25, 2025

Registered at 1000 SE TECH CENTER DR STE 120, VANCOUVER, WA 986835548 (Tel: 3604874660)

📍
Updated Business Mailing Address November 25, 2025

Registered at 5501 NW 142ND ST, VANCOUVER, WA 986851240

👤
Provider Name / Credentials Updated November 25, 2025

Recorded as MADELINE BRETZING, FNP

📍
Updated Practice Location September 30, 2025

Registered at 2726 W GALLAHER FERRY RD, KNOXVILLE, TN 379321015 (Tel: 5037463690)

📍
Updated Business Mailing Address September 30, 2025

Registered at 2726 W GALLAHER FERRY RD, KNOXVILLE, TN 379321015

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2025

Nurse Practitioner (License #AP70048915 in WA)

NPI Profile Active December 11, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2024

Registered at 2409 MIDDLEBROOK RIDGE LN, KNOXVILLE, TN 379313856 (Tel: 5037463690)

📍
Updated Business Mailing Address December 11, 2024

Registered at 2409 MIDDLEBROOK RIDGE LN, KNOXVILLE, TN 379313856

👤
Provider Name / Credentials Updated December 11, 2024

Recorded as MADELINE BRETZING

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2024

Registered Nurse (License #12907183-3102 in UT)

🟢
Initial NPI Registration & Enumeration December 11, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639986946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2024
Last Update: July 15, 2026
Sole Proprietor: No

Mailing Address

536 S Royle Rd Ste 120

Ridgefield, WA 986427759

Phone: 3604871086

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.