Active NPI
Maddison Rae Maxedon, APRN
- Nurse Practitioner
- Mt Zion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.032157
- Practice address
- 104 E Ashland Ave
Mt Zion, IL 62549-1271 - Phone
- (217) 864-2665
- NPI assigned
- Apr 9, 2025
- Last updated
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.032157 | IL | Primary |
Addresses
Primary practice location
104 E Ashland Ave
Mt Zion, IL 62549-1271
Mailing address
104 E Ashland Ave
Mt Zion, IL 62549-1271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 E Ashland Ave
Mt Zion, IL 62549-1271
Phone (217) 864-2665
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.032157 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Orthopedic Center, LLC | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Kirby Medical Center | Past | Accepting new patients |
Locations
1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540
1000 Medical Center Dr
Ste A
Monticello, IL 61856
104 E Ashland Ave
Mt Zion, IL 62549
Phone (217) 864-2665
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Mt Zion, IL
- NPI 1336586114
-
- Family Medicine Physician
- Monticello, IL
- NPI 1386635373
-
dba Kirby Medical Group
- Rural Health Clinic/Center
- Monticello, IL
- NPI 1558527259
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
dba St Marys Hospital
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1629862982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E ASHLAND AVE",
"city": "MT ZION",
"state": "IL",
"postal_code": "625491271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E ASHLAND AVE",
"city": "MT ZION",
"state": "IL",
"postal_code": "625491271",
"telephone_number": "217-864-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXEDON",
"first_name": "MADDISON",
"middle_name": "RAE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.032157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Zion, IL
- Zoey Michelle Lowe
- Julia Ann Mackenzie, MS, RD, LDN
- Madeline Faith Mackin, PT, DPT
- Michelle Elizabeth Marquis, DPT
- Cassie E Mavis, MS, CCC-SLP
- Stephanie Jo McGeorge, BSN RN CNOR RNFA
- Joseph Thomas Meyers, MSN, APN, FNP-C
- Kim Miller, APN/CNP
- Mount Zion Health and Rehab Center LLC
- Mount Zion Health and Rehab Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.