Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADDISON PASSMAN
NPI 1861255614
Nurse Practitioner - Family in Madison, MS

Active since February 05, 2024PECOS Enrolled

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, Dec 30, 2025, Feb 5, 2024 (3 updates tracked since 2024).

About Addison Passman NPPES

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

ADDISON PASSMAN (NPI 1861255614) is an individual family provider in Madison, Mississippi, licensed in Mississippi (907046) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861255614
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameADDISON PASSMAN
Location Address200 KEY DRMadison, MS 39110-7361
Mailing Address200 Key DrMadison, MS 39110-7361 · (601) 605-2085
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 5, 2024
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1861255614 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 MS · 907046
Also ListedRegistered NurseTaxonomy 163W00000X · License 274416 (TN)
200 KEY DR, Madison, MS 39110

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 Passman 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 ID1658858766
PECOS Enrollment IDI20260120003606
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39110 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 2

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

Dentist
200 KEY DR
MADISON, MS 39110
Dentist (General Practice)
200 KEY DR
MADISON, MS 39110

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 Addison Passman's NPI number?

The NPI number for Addison Passman is 1861255614. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Addison Passman located?

Addison Passman practices at 200 Key Dr, Madison, MS 39110. The listed phone number is (601) 605-2085.

What is Addison Passman's specialty?

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

Is Addison Passman enrolled in Medicare?

Yes. Addison Passman 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.

When was this NPI record last updated?

The NPPES record for Addison Passman was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.