Nicole Leann Maddox, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-153599 Issued in AL

Practice address

2000 Pepperell Pkwy
Opelika, AL 36801-5452

Phone

(334) 528-3180

NPI assigned

Mar 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The East Alabama Health Care AuthorityGroup PAC ID 3072403237, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

Merit-based Incentive Payment System (MIPS)

Final score

86.26 of 100Reported as group

Quality

78.94

Promoting interoperability

100

Improvement activities

40

Cost

72.7

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
• FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

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.

• The East Alabama Health Care Authority

  dba East Alabama Medical Center

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1073685483
  Medicare reassignment Care Compare group NPD
• Eamc ER Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Opelika, AL
  • NPI 1659541670
  NPD
• The East Alabama Health Care Authority

  dba East Alabama Apothecary Store 1

  • Community/Retail Pharmacy
  • Opelika, AL
  • NPI 1215089305
  NPD
• East Alabama Surgical Associates LLC

  • Vascular Surgery Physician
  • Opelika, AL
  • NPI 1215255757
  NPD (past)
• Emergency Medicine South

  dba EAMC Emergency Room Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Opelika, AL
  • NPI 1629120712
  NPD (past)

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

• The East Alabama Health Care Authority

  dba East Alabama Medical Center

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1093276156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PEPPERELL PKWY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015452",
            "telephone_number": "334-528-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PEPPERELL PKWY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015452",
            "telephone_number": "334-528-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "NICOLE",
        "middle_name": "LEANN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-153599",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-153599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Luker
• Lea Brooke Lumpkin
• Peter J. Lusche, M.D.
• James E. Lyle IV, M.D.
• Melliny M Macklin, CRNP
• Ricardo A Maldonado, MD
• Jeanetta Morgan Malone, MD
• Heather L Maloney, CRNA
• Thomas Scott Maple, PH.D.
• Lexi Marks

• Acute Care Nurse Practitioner in Opelika, AL
• Providers in Opelika, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.
• 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.

Verify at the official NPI Registry.