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MADELYN PELLICER APRN
NPI 1114642865
Nurse Practitioner - Adult Health in St Augustine, FL

Active since October 05, 2022PECOS Enrolled
201 HEALTH PARK BLVD STE 105, ST AUGUSTINE, FL 32086(904) 824-1776(904) 825-1270 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madelyn Pellicer Aprn NPPES

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

MADELYN PELLICER APRN (NPI 1114642865) is an individual adult health provider in St Augustine, Florida, licensed in Florida (11021961) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114642865
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMADELYN PELLICERCredential: APRN
Location Address201 HEALTH PARK BLVD STE 105St Augustine, FL 32086-5770
Mailing Address201 Health Park Blvd Ste 105St Augustine, FL 32086-5770 · (904) 824-1776 · Fax (904) 825-1270
Phone(904) 824-1776
Fax(904) 825-1270
Sole ProprietorNo
Enumeration DateOctober 5, 2022
NPPES CertifiedOctober 5, 2022
✔ NPI 1114642865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · 11021961
201 HEALTH PARK BLVD STE 105, St Augustine, FL 32086
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Madelyn Elyzabeth Aitken Aprn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madelyn Pellicer Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Madelyn Pellicer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Augustine Cardiology Associates PA
Same address
Cardiovascular Disease
201 HEALTH PARK BLVD, SUITE 105
St Augustine, FL 32086
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1588768147 (904) 824-1776

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
742 services502 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
424 services126 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
319 services296 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
169 services74 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
85 services77 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
69 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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.

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 Madelyn Pellicer's NPI number?

The NPI number for Madelyn Pellicer is 1114642865. It was assigned to this individual provider in the NPPES registry on October 5, 2022. The provider is also known as Miss Madelyn Elyzabeth Aitken Aprn.

Where is Madelyn Pellicer located?

Madelyn Pellicer practices at 201 Health Park Blvd Ste 105, St Augustine, FL 32086. The listed phone number is (904) 824-1776.

What is Madelyn Pellicer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Madelyn Pellicer enrolled in Medicare?

Yes. Madelyn Pellicer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madelyn Pellicer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madelyn Pellicer reassigns Medicare benefits to St Augustine Cardiology Associates PA (St Augustine, FL). 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 Madelyn Pellicer'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 Madelyn Pellicer was last updated on October 5, 2022. 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.