HOLLY ANN MADDOX (AGPCNP-BC) – Gerontology Nurse Practitioner, NPI 1760950331

HOLLY ANN MADDOX (AGPCNP-BC) is a healthcare provider. based in Roanoke, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 0024176838 (VA). The NPI Number for HOLLY ANN MADDOX (AGPCNP-BC) is 1760950331

Main info

Female
8 Years Of Experience
Name
HOLLY ANN MADDOX (AGPCNP-BC)
NPI
1760950331
Phone
(828) 351-6000
Address
6541 Rolling Brook Rd Apt 105-11
Enumeration Date
12 November 2018
Last Update Date
25 March 2026

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7579838650
Graduation Year
2018 (8 years ago)
PAC ID
7719222314
Group Practice PAC ID
8921903923
Professional Enrollment ID
I20190102000751
Address ID
VA234348501SU2760XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for HOLLY ANN MADDOX (AGPCNP-BC)

  • 6541 Rolling Brook Rd Apt 105-11

    Roanoke, VA 240191452

    Phone: (828) 351-6000

    Fax: (828) 287-7436

    Type: Location

  • 2760 GODWIN BLVD STE 100

    SUFFOLK, VA 234348501

    Phone: (757) 983-8650

    Fax: (757) 983-8673

    Type: Location

  • 2760 Godwin Blvd Ste 100

    Suffolk, VA 234348501

    Phone: (757) 983-8650

    Fax: (757) 983-8673

    Type: Location

  • 110 Kingsley Ln Ste 312

    Norfolk, VA 235054618

    Phone: (757) 354-2885

    Type: Location

  • 312, Kingsley Lane, East Haven, Norfolk, Virginia, 23505, United States

    NORFOLK, VA 235054618

    Phone: (757) 354-2885

    Type: Location

  • 600 GRESHAM DR FL 7

    NORFOLK, VA 235071904

    Phone: (757) 388-3447

    Type: Location

  • 112 SPARKS DR

    FOREST CITY, NC 280439021

    Phone: (828) 351-6000

    Fax: (828) 287-7436

    Type: Mailing

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 $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($117).

Total Amount

$117

General + Research + Ownership

Payments

1

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-13

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: 2019-01-02

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
I20190102000751INurse PractitionerVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5451$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes4430$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3819$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2619$0
99496Transitional care management services for problem of high complexity2424$0
View full utilization report →

Insurance plans in this area (ZIP 24019)

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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: 8921903923View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineVA
Nurse PractitionerVA
-MI
-VA
-VA
Pulmonary Disease, Internal MedicineGA
N E U R O L O G YVA
Physician AssistantVA
-VA
Family PracticeVA

Reviews

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Frequently asked questions

What number should I use to identify HOLLY ANN MADDOX (AGPCNP-BC) for billing?
Administrative and clinical systems typically use NPI 1760950331 for HOLLY ANN MADDOX (AGPCNP-BC).
Quick check: is HOLLY ANN MADDOX (AGPCNP-BC) active?
Public NPPES data shows HOLLY ANN MADDOX (AGPCNP-BC) with an active NPI status right now.
What type of care does HOLLY ANN MADDOX (AGPCNP-BC) provide?
HOLLY ANN MADDOX (AGPCNP-BC)'s profile centers on Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit HOLLY ANN MADDOX (AGPCNP-BC) in Roanoke, Virginia?
For routing, start with Roanoke, Virginia for HOLLY ANN MADDOX (AGPCNP-BC), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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