JONI MAXWELL – Primary Care Nurse Practitioner, NPI 1003637208

JONI MAXWELL is a healthcare provider. based in Live oak, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1178257 (TX). The NPI Number for JONI MAXWELL is 1003637208

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JONI MAXWELL
NPI
1003637208
Phone
(210) 742-6555
Address
12881 N IH 35
Enumeration Date
21 October 2024
Last Update Date
5 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2107426555
Graduation Year
2024 (2 years ago)
PAC ID
9931620457
Group Practice PAC ID
0648530386
Professional Enrollment ID
I20250312002755
Address ID
TX782334115LI12881RDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JONI MAXWELL

  • 12881 N IH 35

    LIVE OAK, TX 782332966

    Phone: (210) 742-6555

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Azurity Pharmaceuticals, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-12

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
I20250312002755INurse PractitionerTXTBD

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 78233)

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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: 0648530386View full group profile
NameSpecialtyState
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Physician AssistantTX
-WV
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up JONI MAXWELL by NPI?
Use NPI 1003637208 when you need to reference JONI MAXWELL in forms, claims, or directories.
Does this profile mean JONI MAXWELL is currently active?
Yes — JONI MAXWELL appears active in the national provider directory.
What kind of provider is JONI MAXWELL?
The page reflects Primary Care Nurse Practitioner for JONI MAXWELL. Clinical services aligned with this taxonomy classification.
Where does public data place JONI MAXWELL?
The snapshot lists Live Oak, Texas for JONI MAXWELL; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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