MANDIE L MADDOX FNP
NPI 1861232142
Nurse Practitioner - Family in Plymouth, IN

Q: What is Mandie Maddox's NPI number?

The NPI number for Mandie Maddox is 1861232142. It was assigned to this individual provider in the NPPES registry on May 25, 2024.

Q: What is Mandie Maddox'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 Mandie Maddox was last updated on July 19, 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.

Active since May 25, 2024PECOS EnrolledAccepts Medicare Assignment

2855 MILLER DR STE 205, PLYMOUTH, IN 46563(574) 941-1080 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mandie L Maddox Fnp NPPES

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

MANDIE L MADDOX FNP (NPI 1861232142) is an individual family provider in Plymouth, Indiana, licensed in Indiana (28185360A) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center - Plymouth, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861232142

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMANDIE L MADDOXCredential: FNP

Location Address2855 MILLER DR STE 205Plymouth, IN 46563-8093

Mailing Address16597 18b RdCulver, IN 46511-9733 · (574) 339-6072

Phone(574) 941-1080

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 25, 2024

Last NPPES UpdateJuly 19, 2024

NPPES CertifiedJuly 19, 2024

✔ NPI 1861232142 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 IN · 28185360A

2855 MILLER DR STE 205, Plymouth, IN 46563

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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

Mandie L Maddox 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 ID5294271607

PECOS Enrollment IDI20240722003074

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 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

141 services66 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

21 services20 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150076

Location1915 Lake AvePlymouth, IN 46563 · Marshall County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46563 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 10

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

MELINDA HALUPA NP

Nurse Practitioner