HEATHER J MADDOX RN, CRNA
NPI 1063981512
Nurse Anesthetist, Certified Registered in Fontana, CA
About Heather J Maddox Rn, Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER J MADDOX RN, CRNA (NPI 1063981512) is an individual nurse anesthetist, certified registered in Fontana, California, licensed in California (95000980) and active in the NPI registry since November 2018. She is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Heather J Maddox Rn, Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Heather Maddox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FONTANA, CA 92335
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 Heather Maddox's NPI number?
The NPI number for Heather Maddox is 1063981512. It was assigned to this individual provider in the NPPES registry on November 14, 2018.
Where is Heather Maddox located?
Heather Maddox practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-5000.
What is Heather Maddox's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Heather Maddox enrolled in Medicare?
Yes. Heather Maddox 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.
Which organization bills Medicare for Heather Maddox's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Maddox reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Maddox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Heather Maddox was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Heather J Maddox, RN, CRNA · NPI 1063981512
Nurse Anesthetist, Certified Registered physician in Fontana, California. Individual provider, active in the CMS NPPES registry since November 14, 2018.
## Identity
- **NPI:** 1063981512 (Entity type: Individual)
- **Enumerated:** November 14, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95000980 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9961 SIERRA AVE, Fontana, CA 92335-6720
- **Phone:** (909) 427-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063981512) · Data from the CMS NPPES public registry.