Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mandie L Maddox, FNP

Individual provider Family Nurse Practitioner · NPI 1861232142

Mandie L Maddox, FNP is a Nurse Practitioner in Plymouth, Indiana. Qualified in 2024, 2 years ago. Practices with Holm Medical Clinic Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2855 Miller Dr Ste 205
Plymouth, IN 46563-8093
Phone: (574) 941-1080
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28185360A (IN)

Record details

NPI number1861232142
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 25, 2024
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Holm Medical Clinic Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plymouth