NICOLE MONIQUE MADDOX (APRN) – Acute Care Nurse Practitioner, NPI 1891455325

NICOLE MONIQUE MADDOX (APRN) is a healthcare provider. based in Willoughby, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN.CNP.025956 (OH). The NPI Number for NICOLE MONIQUE MADDOX (APRN) is 1891455325

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MONIQUE MADDOX (APRN)
NPI
1891455325
Phone
(440) 298-8087
Address
36100 Euclid Ave Ste 350
Enumeration Date
23 December 2021
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164446116
Graduation Year
2019 (7 years ago)
PAC ID
2567856735
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20220303002698
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:4State licenses:4Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for NICOLE MONIQUE MADDOX (APRN)

  • 36100 Euclid Ave Ste 350

    Willoughby, OH 440944489

    Phone: (440) 298-8087

    Type: Location

  • 27100 Cedar Rd

    Beachwood, OH 44122

    Phone: (440) 449-1540

    Type: Location

  • 99 Northline Cir Ste 99

    Euclid, OH 44119

    Phone: (440) 449-1540

    Type: Location

  • 9500 Euclid Ave

    Cleveland, OH 441950001

    Phone: (216) 444-2200

    Type: Location

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone: (216) 444-2200

    Type: Mailing

  • PO BOX 931596

    CLEVELAND, OH 441931724

    Phone: (440) 449-1540

    Type: Mailing

  • 6559 WILSON MILLS RD STE 106

    CLEVELAND, OH 44143

    Phone: (440) 449-1540

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2022-03-03

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
I20220303002698INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes4848$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 44094)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is NICOLE MONIQUE MADDOX (APRN) listed with a National Provider Identifier?
Yes — NICOLE MONIQUE MADDOX (APRN) has NPI 1891455325 on file in the registry.
Is NICOLE MONIQUE MADDOX (APRN) still an active registrant?
NICOLE MONIQUE MADDOX (APRN) carries an active NPI according to the public dataset.
What expertise is attributed to NICOLE MONIQUE MADDOX (APRN)?
NICOLE MONIQUE MADDOX (APRN)'s specialty line reads Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NICOLE MONIQUE MADDOX (APRN)?
Travel planning: use Willoughby, Ohio as the reference point for NICOLE MONIQUE MADDOX (APRN), then confirm.
Can I trust this NPI listing for NICOLE MONIQUE MADDOX (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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