Madison Nicole Kissel, DNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11026651 Issued in FL

Practice address

9119 Merrill Rd Ste 38
Jacksonville, FL 32225-4306

Phone

(904) 269-2437

NPI assigned

Apr 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• VK Medical Group LLC

  • Specialist
  • Orange Park, FL
  • NPI 1629473822
  Medicare reassignment NPD
• VK Medical Group LLC

  • Durable Medical Equipment & Medical Supplies
  • Orange Park, FL
  • NPI 1023529096
  NPD
• VK Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1700650512
  NPD

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1083469100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SEA GROVE LN",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506761",
            "telephone_number": "904-955-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 MERRILL RD STE 38",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254306",
            "telephone_number": "904-269-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 Beach Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322503429",
            "country_code": "US",
            "telephone_number": "904-955-1027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISSEL",
        "first_name": "MADISON",
        "middle_name": "NICOLE",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Rae Kiseljack, ARNP
• Ashley Vickery Kiser, M.S., BCBA
• Ruby Kish, RN, LCSW
• Rami Kishek
• Hiten Vithal Kisnad, M.D.
• Jonathan Kistemaker, AA
• Gail Kitani
• Garry S Kitay, M.D.
• Levi K Kitchen, M.D.
• Joshua Kitchens

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.