AMANDA JEAN MADDOX FNP
NPI 1073109708
Nurse Practitioner in Summerdale, AL

Active since December 16, 2020Opted out of Medicare · through Apr 1, 2028
511 STATE HIGHWAY 59 N, SUMMERDALE, AL 36580(251) 989-9400 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2022, Aug 27, 2021, Aug 4, 2021 and 1 more (4 updates tracked since 2020).

About Amanda Jean Maddox Fnp NPPES

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

AMANDA JEAN MADDOX FNP (NPI 1073109708) is an individual nurse practitioner in Summerdale, Alabama, licensed in Alabama (1-150202) and active in the NPI registry since December 2020. She has opted out of Medicare through April 1, 2028 and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073109708
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA JEAN MADDOXCredential: FNP
Location Address511 STATE HIGHWAY 59 NSummerdale, AL 36580-3686
Mailing AddressPo Box 703Summerdale, AL 36580-0703 · (251) 989-9400
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 16, 2020
Last NPPES UpdateOctober 18, 20224 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1073109708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AL · 1-150202
Definition
(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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 1-150202 (AL)
511 STATE HIGHWAY 59 N, Summerdale, AL 36580

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Amanda Jean Maddox Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 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.
48 services23 patients
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.
24 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
511 STATE HIGHWAY 59 N
SUMMERDALE, AL 36580

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 Amanda Maddox's NPI number?

The NPI number for Amanda Maddox is 1073109708. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Amanda Maddox located?

Amanda Maddox practices at 511 State Highway 59 N, Summerdale, AL 36580. The listed phone number is (251) 989-9400.

What is Amanda Maddox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amanda Maddox enrolled in Medicare?

No. Amanda Maddox has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Amanda Maddox accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Amanda Maddox 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.

When was this NPI record last updated?

The NPPES record for Amanda Maddox was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.