Individual provider Active NPI

Madeline Jones Humphries, APRN, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1982583167
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11040163 Issued in FL
Practice address
915 W Monroe St Ste 301
Jacksonville, FL 32204-1177
Phone
(904) 353-8562
NPI assigned
Sep 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11040163 FL Primary
Registered Nurse 163W00000X RN9606455 FL

Addresses

Primary practice location

915 W Monroe St Ste 301
Jacksonville, FL 32204-1177

Mailing address

1171 Holmesdale Rd
Jacksonville, FL 32207-8819

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
I20260110000393 FL Practitioner - Nurse Practitioner 3274023502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anil George MD PAGroup PAC ID 8628096195, 5 clinicians

Practice addresses (Care Compare)

915 W Monroe St
Suite 301
Jacksonville, FL 32204-1177
Phone (904) 353-8562

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9606455FLMDRegistered Nurse
APRN11040163FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anil George MD PA CurrentSince Nov 1, 2025 Accepting new patients

Locations

915 W Monroe St
Ste 301
Jacksonville, FL 32204
Phone (904) 353-8562

580 W 8th St
Ste 6009
Jacksonville, FL 32209
Phone (904) 244-9470

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBAAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1982583167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 HOLMESDALE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W MONROE ST STE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041177",
            "telephone_number": "904-353-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "MADELINE",
        "middle_name": "JONES",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040163",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9606455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.