Individual provider Active NPI

Juanita Webb Fico, ARNP

  • Family Nurse Practitioner
  • Madison, FL
National Provider Identifier
1023237302
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
80958-2 Issued in FL
Practice address
218 SW Third Ave
Madison, FL 32340-1266
Phone
(850) 973-5000
NPI assigned
Apr 24, 2007
Last updated
Dec 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019001660 FL Practitioner - Nurse Practitioner 5799094538 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
80958-2FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County Hospital Health Systems, Inc. CurrentSince Apr 11, 2024 Accepting new patients
Madison County Hospital Health Systems, Inc. CurrentSince Apr 11, 2024 Accepting new patients
Florida Department of Health CurrentSince Jul 1, 2014 Accepting new patients
Florida Department of Health CurrentSince Jul 1, 2014 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

  • FHIR API: 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.

FacilityTypeRoleSince
Madison County Memorial HospitalMadison, FL, CCN 101311 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.

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.