STEPHANIE M MADDOX (APRN) – Family Nurse Practitioner, NPI 1083278790
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
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Provider Addresses for STEPHANIE M MADDOX (APRN)
7261, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States
OMAHA, NE 681242311
Phone: (888) 333-7520
Type: Mailing
7100 W CENTER RD
OMAHA, NE 681062714
Phone: (402) 506-9000
Fax: (402) 506-9093
Type: Mailing
South 178th Street, Millard, Omaha, Douglas County, Nebraska, 68130, United States
OMAHA, NE 681183542
Phone: (888) 333-7520
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $3,245.
Total Amount is formed as General ($3,245) + Research ($0) + Ownership ($0) = $3,245.
Last reported payment date: 2023-03-27 • Largest payer in this snapshot: ModernaTX, Inc. ($3,245).
Total Amount
$3,245
General + Research + Ownership
Payments
8
Total payment records
General Amount
$3,245
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ModernaTX, Inc. | $3,245 |
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: 2019-06-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190627000287 | I | Nurse Practitioner | NE | TBD |
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.
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 68124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | NE | |
| Physician Assistant | IA | |
| Physical Therapist In Private Practice | NE | |
| R H E U M A T O L O G Y | NE | |
| O P T O M E T R Y | NE | |
| - | NE | |
| - | NE | |
| - | NE | |
| Family Practice | NE | |
| Internal Medicine | NE |
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