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MADALYN JONES
NPI 1982111746
Nurse Practitioner - Family in Frederick, MD

Active since January 02, 2018PECOS EnrolledAccepts Medicare Assignment
45 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 696-1000 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2024, Nov 5, 2023, Jan 11, 2021 and 3 more (6 updates tracked since 2019).

About Madalyn Jones NPPES

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

MADALYN JONES (NPI 1982111746) is an individual family provider in Frederick, Maryland, licensed in Maryland (R187140) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982111746
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADALYN JONES
Location Address45 THOMAS JOHNSON DRFrederick, MD 21702-4425
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (240) 215-1138 · Fax (240) 215-1140
Phone(301) 696-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 2, 2018
Last NPPES UpdateJuly 12, 20246 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1982111746 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
Licenses✔ Licensed in MD · R187140✔ Licensed in VA · 0024180520✔ Licensed in TX · AP134337
45 THOMAS JOHNSON DR, Frederick, MD 21702
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1510 Med Ct Ste 210San Antonio, TX 78258-3484 · Phone (210) 494-4290 ext. 257 · Fax (210) 494-4809
Location 21050 Key Pkwy Ste 102Frederick, MD 21702-4496 · Phone (240) 215-1138 · Fax (240) 215-1140

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

Madalyn Jones 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 ID749543908
PECOS Enrollment IDI20210125001854
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 10

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 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.
160 services144 patients
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.
38 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services25 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
28 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 14

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

MS. KIMBERLY LYN ZEREN CRNP- FAMILY
Nurse Practitioner (Family)
45 THOMAS JOHNSON DR, SUITE 109
FREDERICK, MD 21702
Frederick County (301) 696-1011
FREEDOM HOME DIALYSIS, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
45 THOMAS JOHNSON DR, SUITE 211
FREDERICK, MD 21702
Frederick County (301) 624-1054
LORNE YASBIN
Dentist (General Practice)
45 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (301) 696-8664
SARAH S LANTZY M.D.
Internal Medicine
45 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (301) 696-1000
KHC GROUP PC
Clinical Medical Laboratory
45 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (301) 637-3350
DENTAL ONE ASSOCIATES FREDERICK PC
Dentist
45 THOMAS JOHNSON DR, SUITE 105
FREDERICK, MD 21702
Frederick County (301) 696-8664
DR. JASON GABRIEL BROMER M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
45 THOMAS JOHNSON DR, SUITE 107
FREDERICK, MD 21702
Frederick County (301) 631-1180
FREDERICK DERMATOLOGY ASSOCIATES LLC
Dermatology
45 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (301) 928-2105

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 Madalyn Jones's NPI number?

The NPI number for Madalyn Jones is 1982111746. It was assigned to this individual provider in the NPPES registry on January 2, 2018.

Where is Madalyn Jones located?

Madalyn Jones practices at 45 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (301) 696-1000.

What is Madalyn Jones's specialty?

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

Is Madalyn Jones enrolled in Medicare?

Yes. Madalyn Jones 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.

Is Madalyn Jones affiliated with any hospitals?

According to CMS data, Madalyn Jones is affiliated with Frederick Health Hospital and Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Madalyn Jones was last updated on July 12, 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.