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CONNIE MADDOX APRN
NPI 1720867823
Nurse Practitioner - Psychiatric/Mental Health in Florence, KY

Active since September 27, 2023PECOS EnrolledAccepts Medicare Assignment
7459 BURLINGTON PIKE, FLORENCE, KY 41042(859) 578-3200 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Connie Maddox Aprn NPPES

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

CONNIE MADDOX APRN (NPI 1720867823) is an individual psychiatric/mental health provider in Florence, Kentucky, licensed in Kentucky (4009915) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Covington, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720867823
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCONNIE MADDOXCredential: APRN
Location Address7459 BURLINGTON PIKEFlorence, KY 41042-1553
Mailing Address503 Farrell DrCovington, KY 41011-3775 · (859) 578-3200 · Fax (859) 534-2627
Phone(859) 578-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 27, 2023
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedSeptember 29, 2023
✔ NPI 1720867823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4009915
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4009915 (KY)
7459 BURLINGTON PIKE, Florence, KY 41042
Open in Google Maps ↗

Secondary Practice Location 1

Location 1513 Madison AveCovington, KY 41011-1505 · Phone (859) 578-3200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

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

Connie Maddox Aprn 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 ID446608129
PECOS Enrollment IDI20231120001869, I20251015002030
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

6

Medicare enrollment records show Connie Maddox reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Kentucky Mental Health Mental Retardation Regional Board
6.7 mi
Mental Health (Including Community Mental Health Center)
502 FARRELL DR
Covington, KY 41011
  • Reassigned Medicare billing, Kentucky enrollment
  • 82 clinicians in this Medicare group
NPI 1578527610 (859) 578-3232
Eventus Ecs - Kentucky, PLLC
67 mi
Nurse Practitioner
828 LANE ALLEN RD STE 219
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 66 clinicians in this Medicare group
NPI 1396563276 (855) 743-2247
Eventus Wholehealth Midwest Inc
69 mi
Family Medicine
2100 MIDWAY ST # 3722
Columbus, IN 47201
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 114 clinicians in this Medicare group
NPI 1386252757 (260) 483-9081
Eventus Ecs, Inc
97 mi
Nurse Practitioner
150 W MARKET ST STE 400
Indianapolis, IN 46204
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 86 clinicians in this Medicare group
NPI 1073353496 (855) 743-2247
Extended Care Specialists, Inc
221 mi
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 145 clinicians in this Medicare group
NPI 1134146079 (855) 743-2247
Eventus Wh Midwest Care, LLC
334 mi
Nurse Practitioner
101 CABARRUS AVE E STE 100
Concord, NC 28025
  • Reassigned Medicare billing, Kentucky enrollment
  • 65 clinicians in this Medicare group
NPI 1588481717 (855) 743-2247

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 5

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
152 services39 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
139 services49 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
19 services13 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
17 services17 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 20

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

CONSTANCE MORRIS LCSW
Social Worker (Clinical)
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Boone County (859) 331-3292
GAYLE GRIFFITHS
Technician, Other
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Boone County (858) 282-6585
LISA ELSTUN
Social Worker
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Boone County (859) 525-6808
DIXIE LEE ZIMMERMAN APRN
Nurse Practitioner (Psychiatric/Mental Health)
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Boone County (859) 578-3200
KRISTIN BLACK
Technician, Other
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Boone County (859) 282-6585
KRISTEN FLAHERTY
Technician, Other
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Boone County (859) 282-6585
JESSICA NOEL
Technician, Other
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Boone County (859) 282-6585
MARGARETTE WILHOITE
Technician, Other
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Boone County (859) 282-6585

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 Connie Maddox's NPI number?

The NPI number for Connie Maddox is 1720867823. It was assigned to this individual provider in the NPPES registry on September 27, 2023.

Where is Connie Maddox located?

Connie Maddox practices at 7459 Burlington Pike, Florence, KY 41042. The listed phone number is (859) 578-3200.

What is Connie Maddox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Connie Maddox enrolled in Medicare?

Yes. Connie 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.

Which organizations bill Medicare for Connie Maddox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connie Maddox reassigns Medicare benefits to 6 organizations: Northern Kentucky Mental Health Mental Retardation Regional Board (Covington, KY), Eventus Ecs - Kentucky, PLLC (Lexington, KY), Eventus Wholehealth Midwest Inc (Columbus, IN), Eventus Ecs, Inc (Indianapolis, IN), Extended Care Specialists, Inc (Merrillville, IN) and 1 more organization, listed in the Medicare section above. 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 Connie Maddox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connie Maddox accept?

Health plans from CareSource and MedMutual list Connie 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 Connie Maddox was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.