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MRS. JESSICA ARBETH MADDOX VANN APN
NPI 1710037163
Nurse Practitioner - Gerontology in Penns Grove, NJ

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
106 LUPINE LN, PENNS GROVE, NJ 08069(609) 617-5229 Get Directions Write a Review

NPPES record last updated: October 30, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jessica Arbeth Maddox Vann Apn NPPES

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

MRS. JESSICA ARBETH MADDOX VANN APN (NPI 1710037163) is an individual gerontology provider in Penns Grove, New Jersey, licensed in Pennsylvania (SP008840) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1710037163
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. JESSICA ARBETH MADDOX VANNCredential: APN
Location Address106 LUPINE LNPenns Grove, NJ 08069-2241
Mailing Address106 Lupine LnPenns Grove, NJ 08069-2241
Phone(609) 617-5229
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 10, 2007
Last NPPES UpdateOctober 30, 2011
✔ NPI 1710037163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in PA · SP008840✔ Licensed in NJ · 26NJ00325000
106 LUPINE LN, Penns Grove, NJ 08069
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Jessica Arbeth Maddox Gnp-bc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessica Arbeth Maddox Vann Apn 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 ID8022176858
PECOS Enrollment IDI20260130001977
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 Reassignments

2

Medicare enrollment records show Jessica Maddox Vann reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lavender New Jersey Psychiatric Nurse Practitioner PC
106 mi
Psychiatric/Mental Health
245 5TH AVE FL 3
New York, NY 10016
  • Reassigned Medicare billing, New Jersey enrollment
  • 32 clinicians in this Medicare group
NPI 1629922950 (855) 444-7258
Moonshot Psychiatric Nurse Practitioner PC
2,374 mi
Psychiatric/Mental Health
4803 FREMONT AVE N
Seattle, WA 98103
  • Reassigned Medicare billing, New Jersey enrollment
  • 36 clinicians in this Medicare group
NPI 1669158879 (855) 444-7258

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08069 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 Jessica Maddox Vann's NPI number?

The NPI number for Jessica Maddox Vann is 1710037163. It was assigned to this individual provider in the NPPES registry on January 10, 2007. The provider is also known as Mrs. Jessica Arbeth Maddox Gnp-Bc.

Where is Jessica Maddox Vann located?

Jessica Maddox Vann practices at 106 Lupine Ln, Penns Grove, NJ 08069. The listed phone number is (609) 617-5229.

What is Jessica Maddox Vann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jessica Maddox Vann enrolled in Medicare?

Yes. Jessica Maddox Vann 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.

Which organizations bill Medicare for Jessica Maddox Vann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Maddox Vann reassigns Medicare benefits to 2 organizations: Lavender New Jersey Psychiatric Nurse Practitioner PC (New York, NY) and Moonshot Psychiatric Nurse Practitioner PC (Seattle, WA). Each 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 Jessica Maddox Vann'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 Jessica Maddox Vann was last updated on October 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.