Individual provider Active NPI

Wendy Lou Maddux, APRN

  • Gerontology Nurse Practitioner
  • Lewistown, MT
National Provider Identifier
1023346004
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
178764 Issued in MT
Practice address
408 Wendell Ave
Lewistown, MT 59457-2261
Phone
(406) 535-6302
Fax
(406) 535-6306
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 178764 MT Primary
Clinical Nurse Specialist 364S00000X NUR-APRN-LIC-178764 MT
Wound Care Registered Nurse 163WW0000X RN25056 MT

Addresses

Primary practice location

408 Wendell Ave
Lewistown, MT 59457-2261

Mailing address

419 E Broadway St
Lewistown, MT 59457-1904
Phone (406) 535-3398

Other practice location 1

419 E Broadway St
Lewistown, MT 59457-1904
Phone (406) 535-3398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20220215000304 MT Practitioner - Nurse Practitioner 6103219118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Lewistown, MT 59457
Phone (406) 535-3398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN25056MTMDWound Care Registered Nurse
178764MTMDGerontology Nurse Practitioner
NUR-APRN-LIC-178764MTMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewistown Adult Health and Wound Care PLLC Wound Care CurrentSince Jan 3, 2022 Accepting new patients

Locations

611 NE Main St
Ste 2
Lewistown, MT 59457
Phone (406) 350-4067

Interoperability endpoints

  • Direct secure messaging: wendy.maddux.1@25901.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25901/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1023346004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E BROADWAY ST",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594571904",
            "telephone_number": "406-535-3398",
            "fax_number": "406-535-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WENDELL AVE",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572261",
            "telephone_number": "406-535-6302",
            "fax_number": "406-535-6306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Lewistown",
            "state": "MT",
            "postal_code": "594571904",
            "country_code": "US",
            "telephone_number": "406-535-3398",
            "fax_number": "406-535-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDUX",
        "first_name": "WENDY",
        "middle_name": "LOU",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MT",
            "license": "178764",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MT",
            "license": "NUR-APRN-LIC-178764",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MT",
            "license": "RN25056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

Verify at the official NPI Registry.