Individual provider Active NPI

Hope E Maddix, APRN

  • Adult Health Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1487754073
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9169868 Issued in FL
Practice address
29320 US Highway 27
Leesburg, FL 34748-8227
Phone
(352) 360-0400
Fax
(352) 360-0404
NPI assigned
Sep 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9169868 FL Primary

Addresses

Primary practice location

29320 US Highway 27
Leesburg, FL 34748-8227

Mailing address

8212 Treasure Island Rd
Leesburg, FL 34788-9200
Phone (352) 552-7726

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
I20080507000319 FL Practitioner - Nurse Practitioner 7618063694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowell F. Clark MD PAGroup PAC ID 7416918370, 31 clinicians

Practice addresses (Care Compare)

212 S Florida St
Bushnell, FL 33513-6703
Phone (352) 793-2441

Hospital & facility affiliations

  • Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9169868FLMDAdult Health Nurse Practitioner

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1487754073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 TREASURE ISLAND RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347889200",
            "telephone_number": "352-552-7726",
            "fax_number": "352-326-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29320 US HIGHWAY 27",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347488227",
            "telephone_number": "352-360-0400",
            "fax_number": "352-360-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDIX",
        "first_name": "HOPE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9169868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.