MADISON RHODEN – Physician Assistant, NPI 1861194953

MADISON RHODEN is a healthcare provider. based in Macclenny, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5483 (TN). The NPI Number for MADISON RHODEN is 1861194953

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MADISON RHODEN
NPI
1861194953
Phone
Not provided
Address
6164 HARRY REWIS RD
Enumeration Date
21 March 2023
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8506620041
Graduation Year
2022 (4 years ago)
PAC ID
8224578331
Group Practice PAC ID
8820305600
Professional Enrollment ID
I20240904001437
Address ID
FL323518681QU1730XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MADISON RHODEN

  • 6164 HARRY REWIS RD

    MACCLENNY, FL 320633738

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240904001437IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32063)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820305600View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerFL
Physician AssistantAL
Nurse PractitionerFL
Nurse PractitionerAL
-AL
-AL
-AL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does MADISON RHODEN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MADISON RHODEN uses 1861194953.
Can I rely on MADISON RHODEN being an active provider?
As of the registry snapshot, MADISON RHODEN is marked active.
What is MADISON RHODEN's primary classification?
Physician Assistant is the headline specialty for MADISON RHODEN here. Clinical services aligned with this taxonomy classification.
Where is MADISON RHODEN based?
MADISON RHODEN is tied to Macclenny, Florida in the data we show; additional addresses may exist on the full record.
Is the information about MADISON RHODEN up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

Glen St. Mary, Baker County, Florida, 32040, United States
NPI: 1619204955

BLAYNE O YERBY (PA)

Physician Assistant
Great Jones, 13241, Bartram Park Boulevard, Jacksonville, Duval County, Florida, 32258, United States
NPI: 1497295505

JACK KOBURGER (PA-C)

Physician Assistant
6796 SMOKERISE DR
NPI: 1538057153