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JILL IRENE MADDACK APN NPI 1750634531


NPI Information

NPI: 1750634531
Provider Name: JILL IRENE MADDACK, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4500 W 181ST AVE
LOWELL, IN
ZIP 46356
Phone: (219) 690-2016
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Jill Irene Maddack, APN is a family nurse practitioner in Lowell, IN with 12 years of experience. Jill Irene Maddack, APN NPI is 1750634531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

4500 W 181ST AVE
LOWELL, IN
ZIP 46356-017
Phone: (219) 690-2016
Fax: (219) 690-1862

The NPI 1750634531 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Automated urinalysis test (HCPCS:81003)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 10/18/2012 and was last updated on 10/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily28107133AINDIANANo
2363LF0000XNurse PractitionerFamily71004266AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201173110MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.