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NICHOLAS MADDOX FNP-BC
NPI 1609584960
Nurse Practitioner - Family in Jefferson, NC

Active since November 07, 2022PECOS EnrolledAccepts Medicare Assignment
540 WAUGH ST, JEFFERSON, NC 28640(336) 246-5581 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2025, Nov 7, 2022 (2 updates tracked since 2022).

About Nicholas Maddox Fnp-bc NPPES

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

NICHOLAS MADDOX FNP-BC (NPI 1609584960) is an individual family provider in Jefferson, North Carolina, licensed in North Carolina (5021560) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, is affiliated with Ashe Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609584960
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLAS MADDOXCredential: FNP-BC
Location Address540 WAUGH STJefferson, NC 28640-9034
Mailing Address389 Falls Dr NwAbingdon, VA 24210-8093 · (276) 623-0740
Phone(336) 246-5581
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 7, 2022
Last NPPES UpdateApril 12, 20252 updates tracked since enumeration
NPPES CertifiedApril 12, 2025
✔ NPI 1609584960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5021560
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 0024185720 (VA)
540 WAUGH ST, Jefferson, NC 28640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Nicholas Maddox Fnp-bc 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 ID1355716291
PECOS Enrollment IDI20230407000525, I20250516002653
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 10

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.
153 services124 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 services22 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
22 services19 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
16 services15 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services15 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341325
Location200 Hospital AveJefferson, NC 28640 · Ashe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28640 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 4

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

ASHLEY CAROLINE LINDSEY
Occupational Therapist
540 WAUGH ST
JEFFERSON, NC 28640
Ashe County (336) 246-5581
WILLIAM R. TRAPANI OTR/L
Occupational Therapist
540 WAUGH ST
JEFFERSON, NC 28640
Ashe County (336) 246-5581
MARI LYNNE BUTLER A.R.N.P.
Nurse Practitioner
540 WAUGH ST
JEFFERSON, NC 28640
Ashe County (336) 899-4591
MARGATE HEALTH AND REHABILITATION, LLC
Skilled Nursing Facility
540 WAUGH ST
JEFFERSON, NC 28640
Ashe County (919) 880-5009

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 Nicholas Maddox's NPI number?

The NPI number for Nicholas Maddox is 1609584960. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Where is Nicholas Maddox located?

Nicholas Maddox practices at 540 Waugh St, Jefferson, NC 28640. The listed phone number is (336) 246-5581.

What is Nicholas Maddox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicholas Maddox enrolled in Medicare?

Yes. Nicholas 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 Nicholas Maddox accept?

Health plans from Blue Cross and Blue Shield of NC list Nicholas 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.

Is Nicholas Maddox affiliated with any hospitals?

According to CMS data, Nicholas Maddox is affiliated with Ashe Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Maddox was last updated on April 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.