ADDISON MAE MIDDLETON FNP
NPI 1750257101
Nurse Practitioner - Family in Jackson, MO

Q: What is Addison Middleton's NPI number?

The NPI number for Addison Middleton is 1750257101. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Q: What is Addison Middleton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Addison Middleton was last updated on November 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 14, 2025PECOS EnrolledAccepts Medicare Assignment

2130 E JACKSON BLVD, JACKSON, MO 63755(573) 243-8408(573) 243-0445 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Addison Mae Middleton Fnp NPPES

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

ADDISON MAE MIDDLETON FNP (NPI 1750257101) is an individual family provider in Jackson, Missouri, licensed in Missouri (2025045606) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750257101

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameADDISON MAE MIDDLETONCredential: FNP

Location Address2130 E JACKSON BLVDJackson, MO 63755-2907

Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-5583 · Fax (573) 331-5079

Phone(573) 243-8408

Fax(573) 243-0445

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 14, 2025

Last NPPES UpdateNovember 20, 2025

NPPES CertifiedNovember 20, 2025

✔ NPI 1750257101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2025045606

2130 E JACKSON BLVD, Jackson, MO 63755

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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

Addison Mae Middleton Fnp 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 ID1153813282

PECOS Enrollment IDI20251125002947

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.

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260183

Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63755 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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Other Providers at the Same Location NPPES 16

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

MS. MARCY A EMMONS PA-C

Physician Assistant