MRS. ARLENE ELAINE EWART-MADHERE FNP
NPI 1013965557
Nurse Practitioner - Family in Jacksonville, FL

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
91.6/100
CMS Quality Rating
866 DUNN AVE, JACKSONVILLE, FL 32218(866) 825-3227(904) 380-2905 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Arlene Elaine Ewart-madhere Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ARLENE ELAINE EWART-MADHERE FNP (NPI 1013965557) is an individual family provider in Jacksonville, Florida, licensed in Georgia (RN129054) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1013965557
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ARLENE ELAINE EWART-MADHERECredential: FNP
Location Address866 DUNN AVEJacksonville, FL 32218-4803
Mailing Address6000 Fairfield Estates DrLithonia, GA 30058-8345 · (404) 374-2171
Fax(904) 380-2905
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 5, 2006
Last NPPES UpdateOctober 28, 2011
NPI 1013965557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN129054
866 DUNN AVE, Jacksonville, FL 32218

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Arlene Elaine Ewart-madhere Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698844538
PECOS Enrollment IDI20080519000716
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services46 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
77 services51 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
30 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
866 DUNN AVE
JACKSONVILLE, FL 32218
Pharmacist
866 DUNN AVE
JACKSONVILLE, FL 32218
Pharmacist
866 DUNN AVE
JACKSONVILLE, FL 32218
Pharmacist
866 DUNN AVE
JACKSONVILLE, FL 32218
Pharmacist
866 DUNN AVE
JACKSONVILLE, FL 32218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arlene Ewart-madhere's NPI number?

The NPI number for Arlene Ewart-madhere is 1013965557. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Arlene Ewart-madhere located?

Arlene Ewart-madhere practices at 866 Dunn Ave, Jacksonville, FL 32218. The listed phone number is (866) 825-3227.

What is Arlene Ewart-madhere's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Arlene Ewart-madhere enrolled in Medicare?

Yes. Arlene Ewart-madhere is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Arlene Ewart-madhere accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Arlene Ewart-madhere as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Arlene Ewart-madhere affiliated with any hospitals?

According to CMS data, Arlene Ewart-madhere is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Arlene Ewart-madhere was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.