MADISON JONES FNP-C
NPI 1891428165
Nurse Practitioner - Primary Care in Annapolis, MD

Active since July 05, 2022PECOS Enrolled
108 DEFENSE HWY, ANNAPOLIS, MD 21401(443) 723-0766(877) 877-2880 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Madison Jones Fnp-c NPPES

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

MADISON JONES FNP-C (NPI 1891428165) is an individual primary care provider in Annapolis, Maryland, licensed in Maryland (R233208) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Annapolis.

NPPES Registry Identity

NPI1891428165
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMADISON JONESCredential: FNP-C
Location Address108 DEFENSE HWYAnnapolis, MD 21401-7012
Mailing Address2062 Generals HwyAnnapolis, MD 21401-6775 · (443) 723-0766
Fax(877) 877-2880
Sole ProprietorNo
Enumeration DateJuly 5, 2022
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1891428165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MD · R233208
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R233208 (MD)
108 DEFENSE HWY, Annapolis, MD 21401

Secondary Practice Location 1

Location 12062 Generals HwyAnnapolis, MD 21401-6775 · Phone (443) 254-6809

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Jones Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Madison Jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
301 SAINT PAUL ST STE 409
Baltimore, MD 21202
  • Reassigned Medicare billing, Maryland enrollment
  • 339 clinicians in this Medicare group
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Maryland enrollment
  • 668 clinicians in this Medicare group

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services30 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 Madison Jones's NPI number?

The NPI number for Madison Jones is 1891428165. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Where is Madison Jones located?

Madison Jones practices at 108 Defense Hwy, Annapolis, MD 21401. The listed phone number is (443) 723-0766.

What is Madison Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Madison Jones enrolled in Medicare?

Yes. Madison Jones is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Madison Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Jones reassigns Medicare benefits to 2 organizations: Privia Care Center LLC (Baltimore, MD) and Privia Medical Group, LLC (Arlington, VA). 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 Madison Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Jones accept?

Health plans from Oscar Health list Madison Jones 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 Madison Jones was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.