Individual provider Active NPI

Madelyn Rose Duty, APRN

  • Family Nurse Practitioner
  • North Venice, FL
National Provider Identifier
1124742770
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021693 Issued in FL
Practice address
5500 Pinebrook Rd Ste 202
North Venice, FL 34275-3678
Phone
(941) 408-0500
Fax
(941) 496-8558
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11021693 FL
Family Nurse Practitioner 363LF0000X APRN11021693 FL Primary

Addresses

Primary practice location

5500 Pinebrook Rd Ste 202
North Venice, FL 34275-3678

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

901 Tamiami Trl S Ste A2
Venice, FL 34285-3668
Phone (941) 484-3531

Other practice location 2

714 Doctors Dr
Englewood, FL 34223-3992
Phone (941) 460-1300

Other identifiers 1

IdentifierTypeStateIssuer
115772000MedicaidFL

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
I20221013000976 FL Practitioner - Nurse Practitioner 5395111538 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Nov 1, 2022 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

714 Doctors Dr
Fl Cancer
Englewood, FL 34223
Phone (941) 460-1300

714 Doctors Dr
Englewood, FL 34223
Phone (941) 460-1300

5500 Pinebrook Rd
Ste 202
North Venice, FL 34275
Phone (941) 408-0500

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

901 Tamiami Trl S
Ste A2
Venice, FL 34285
Phone (941) 484-3531

836 Sunset Lake Blvd
Ste 101
Venice, FL 34292
Phone (941) 408-0500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1124742770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 PINEBROOK RD STE 202",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342753678",
            "telephone_number": "941-408-0500",
            "fax_number": "941-496-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Tamiami Trl S Ste A2",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342853668",
            "country_code": "US",
            "telephone_number": "941-484-3531",
            "fax_number": "941-486-1701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342233992",
            "country_code": "US",
            "telephone_number": "941-460-1300",
            "fax_number": "941-460-1306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTY",
        "first_name": "MADELYN",
        "middle_name": "ROSE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11021693",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115772000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Venice, FL

Sources for this page

Verify at the official NPI Registry.