NICOLE LEANN MADDOX CRNP
NPI 1093276156
Nurse Practitioner - Acute Care in Opelika, AL

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
84.22/100
CMS Quality Rating
2000 PEPPERELL PKWY, OPELIKA, AL 36801(334) 528-3180 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Leann Maddox Crnp NPPES

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

NICOLE LEANN MADDOX CRNP (NPI 1093276156) is an individual acute care provider in Opelika, Alabama, licensed in Alabama (1-153599) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093276156
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE LEANN MADDOXCredential: CRNP
Location Address2000 PEPPERELL PKWYOpelika, AL 36801-5452
Mailing Address2000 Pepperell PkwyOpelika, AL 36801-5452 · (334) 528-3180
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 29, 2019
Last NPPES UpdateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
NPI 1093276156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AL · 1-153599
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-153599 (AL)
2000 PEPPERELL PKWY, Opelika, AL 36801

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

Nicole Leann Maddox Crnp 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 ID9234542549
PECOS Enrollment IDI20210106000268
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 2

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.
47 services39 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.
26 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

84.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost47.41

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.

Internal Medicine (Critical Care Medicine)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Anesthesiologist Assistant
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Internal Medicine
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Registered Nurse (Obstetric, Inpatient)
2000 PEPPERELL PKWY, 3RD FLOOR/ MOTHER BABY
OPELIKA, AL 36801
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801

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 Nicole Maddox's NPI number?

The NPI number for Nicole Maddox is 1093276156. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Nicole Maddox located?

Nicole Maddox practices at 2000 Pepperell Pkwy, Opelika, AL 36801. The listed phone number is (334) 528-3180.

What is Nicole Maddox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Maddox enrolled in Medicare?

Yes. Nicole 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.

What insurance does Nicole Maddox accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Nicole 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 Nicole Maddox was last updated on September 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.