Individual provider Active NPI

Nicole A Madalon, CNM

  • Advanced Practice Midwife
  • Lakeland, FL
National Provider Identifier
1982029864
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN9437823 Issued in FL
Practice address
1733 Lakeland Hills Blvd
Lakeland, FL 33805-3016
Phone
(863) 688-1528
Fax
(877) 669-0331
NPI assigned
Feb 28, 2014
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN274702 GA
Advanced Practice Midwife 367A00000X 2014002554 MO
Advanced Practice Midwife 367A00000X 209011060 IL
Advanced Practice Midwife 367A00000X APRN9437823 FL Primary

Addresses

Primary practice location

1733 Lakeland Hills Blvd
Lakeland, FL 33805-3016

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

14014 N 46th St Ste C
Tampa, FL 33613-4238
Phone (813) 284-2229

Other identifiers 1

IdentifierTypeStateIssuer
018447200MedicaidFL

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915000133 FL Practitioner - Certified Nurse Midwife (CNM) 0143442368 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN274702GAMDAdvanced Practice Midwife
209011060ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Manatee PA CurrentSince Apr 29, 2022 Accepting new patients
Florida Woman Care, LLC CurrentSince Dec 12, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Apr 15, 2024 Accepting new patients
Florida Medical Clinic LLC CurrentSince Apr 15, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
Atlanta Birth Center Past Accepting new patients
Womencare PA Past Accepting new patients
Abc Midwifery Clinic LLC Advanced Practice Midwife Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

199 S US Highway 17
East Palatka, FL 32131
Phone (386) 325-6699

14014 N 46th St
Ste C
Tampa, FL 33613
Phone (813) 284-2229

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

2734 Windguard Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 803-3026

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: nicole.madalon.1@2183.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1982029864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053016",
            "telephone_number": "863-688-1528",
            "fax_number": "877-669-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14014 N 46th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134238",
            "country_code": "US",
            "telephone_number": "813-284-2229",
            "fax_number": "813-377-1681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADALON",
        "first_name": "NICOLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN274702",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2014002554",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209011060",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN9437823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018447200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.