Active NPI
Juanita Webb Fico, ARNP
- Family Nurse Practitioner
- Madison, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 80958-2
- Practice address
- 218 SW Third Ave
Madison, FL 32340-1266 - Phone
- (850) 973-5000
- NPI assigned
- Apr 24, 2007
- Last updated
- Dec 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 80958-2 | FL | Primary |
Addresses
Primary practice location
218 SW Third Ave
Madison, FL 32340-1266
Mailing address
218 SW Third Ave
Madison, FL 32340-1266
Phone (850) 973-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
224 NW Crane Ave
Madison, FL 32340-1400
Phone (850) 253-1923
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80958-2 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison County Hospital Health Systems, Inc. | Current | Accepting new patients | |
| Madison County Hospital Health Systems, Inc. | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients |
Locations
218 SW Third Ave
Madison, FL 32340
Phone (850) 972-5000
224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923
1255 W Washington St
Monticello, FL 32344
Phone (850) 342-0170
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCFEDD/Endpoint/JCFEDD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Madison County Memorial Hospital | Hospital | Corporate Director | Aug 22, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Madison County Memorial Hospital
- Critical Access Hospital
- Madison, FL
- NPI 1104821461
Corporate Director
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Madison County Memorial Hospital
- Critical Access Hospital
- Madison, FL
- NPI 1104821461
-
dba Madison County Health Department
- Public Health or Welfare Agency
- Madison, FL
- NPI 1245200641
-
dba Levy County Health Department
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
-
dba Madison County Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Madison, FL
- NPI 1083684856
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Madison County Memorial Hospital
- Critical Access Hospital
- Madison, FL
- NPI 1104821461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1023237302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 SW THIRD AVE",
"city": "MADISON",
"state": "FL",
"postal_code": "323401266",
"telephone_number": "850-973-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 SW THIRD AVE",
"city": "MADISON",
"state": "FL",
"postal_code": "323401266",
"telephone_number": "850-973-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICO",
"first_name": "JUANITA",
"middle_name": "WEBB",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "80958-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, FL
- Victory Clairissa Elizabeth Evans, PHARMD
- Falo Hill
- Family First Wellness Clinic, LLC
- Matesha Fead
- Kenol Junior Felix, DDS
- Florida Assistant Living Organization, LLC (Florida Assistant Living Organization Hill)
- Florida Assistant Living Organization, LLC
- Florida Assistant Living Organization, LLC (Florida Assistant Living Organization Chateau)
- Florida Department of Health (Madison County Health Department)
- James C Flournoy Sr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.