JONATHAN MAXWELL DNP
NPI 1942061189
Nurse Practitioner - Psychiatric/Mental Health in La Crosse, FL

Active since January 16, 2024PECOS Enrolled
5619 NW 202ND PL, LA CROSSE, FL 32658(386) 418-0545 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Maxwell Dnp NPPES

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

JONATHAN MAXWELL DNP (NPI 1942061189) is an individual psychiatric/mental health provider in La Crosse, Florida, licensed in Florida (APRN11029322) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942061189
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJONATHAN MAXWELLCredential: DNP
Location Address5619 NW 202ND PLLa Crosse, FL 32658
Mailing AddressPo Box 312La Crosse, FL 32658-0312 · (386) 418-0545
Sole ProprietorYes
Enumeration DateJanuary 16, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1942061189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11029322
5619 NW 202ND PL, La Crosse, FL 32658

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Maxwell Dnp 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 Reassignment

Medicare enrollment records show Jonathan Maxwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
10 W MAIN STREET
Lake Butler, FL 32054
  • Reassigned Medicare billing, Florida enrollment
  • 103 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

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32658 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Jonathan Maxwell's NPI number?

The NPI number for Jonathan Maxwell is 1942061189. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Jonathan Maxwell located?

Jonathan Maxwell practices at 5619 NW 202nd Pl, La Crosse, FL 32658. The listed phone number is (386) 418-0545.

What is Jonathan Maxwell's specialty?

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

Is Jonathan Maxwell enrolled in Medicare?

Yes. Jonathan Maxwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Maxwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Maxwell reassigns Medicare benefits to Meridian Behavioral Healthcare, Inc. (Lake Butler, FL). The 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 Jonathan Maxwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Maxwell was last updated on January 16, 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.