MAPLE CITY MEDICAL LLC
NPI 1407709116
Nurse Practitioner - Family in La Porte, IN
About Maple City Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAPLE CITY MEDICAL LLC (NPI 1407709116) is a healthcare organization registered as a family in La Porte, Indiana and active in the NPI registry since February 2026. The organization lists Christine Maddox, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maple City Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Maple City Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Maple City Medical LLC's NPI number?
The NPI number for Maple City Medical LLC is 1407709116. It was assigned to this organization in the NPPES registry on February 20, 2026.
Where is Maple City Medical LLC located?
Maple City Medical LLC is located at 1700 Lincolnway Pl Ste 8, La Porte, IN 46350. The listed phone number is (219) 369-3177.
What is Maple City Medical LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maple City Medical LLC enrolled in Medicare?
Yes. Maple City Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maple City Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Maple City Medical LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Maple City Medical LLC was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Maple City Medical Llc · NPI 1407709116
Family organization in La Porte, Indiana. Organization record, active in the CMS NPPES registry since February 20, 2026.
## Identity
- **NPI:** 1407709116 (Entity type: Organization)
- **Enumerated:** February 20, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Christine Maddox, OWNER
## Practice location
- **Address:** 1700 LINCOLNWAY PL STE 8, La Porte, IN 46350-3194
- **Phone:** (219) 369-3177 · **Fax:** (219) 325-0855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407709116) · Data from the CMS NPPES public registry.