Maple City Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MAPLE CITY MEDICAL LLC

Practice address

1700 Lincolnway PL Ste 8
La Porte, IN 46350-3194

Phone

(219) 369-3177

Fax

(219) 325-0855

NPI assigned

Feb 20, 2026

Organization subpart

No

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

Authorized official

Name

Christine Maddox, FNPNPI 1063483642

Title

Owner

Phone

(219) 369-3177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Marie Maddox, F.N.P.

  • Family Nurse Practitioner
  • Michigan City, IN
  • NPI 1063483642
  Medicare reassignment NPD Authorized official
• Thomas M Allen, PSYD, HSPP

  • Health Service Psychologist
  • La Porte, IN
  • NPI 1972592798
  NPD (past)
• Rachael Manney, LCSW

  • Clinical Social Worker
  • La Porte, IN
  • NPI 1285686634
  NPD (past)
• Tina Marie Pierce, NP

  • Family Nurse Practitioner
  • La Porte, IN
  • NPI 1114576154
  NPD (past)

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1407709116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LINCOLNWAY PL STE 8",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503194",
            "telephone_number": "219-369-3177",
            "fax_number": "219-325-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LINCOLNWAY PL STE 8",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503194",
            "telephone_number": "219-369-3177",
            "fax_number": "219-325-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE CITY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-369-3177",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Manney, LCSW
• Alyssa Anne Manning, CCC-SLP
• Benjamin Carl Mannix Jr., M.D.
• Maple City Dentistry, Inc
• Maple City Emergency Physicians, LLP
• Hector Juan Marchand Sr., M.D.
• Amanda Marriott
• Andrew Martin
• Ashley Martin, OTR/L, OTD
• Jennifer Ann Martin, MSW

• Family Nurse Practitioner in La Porte, IN
• Providers in La Porte, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.