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

MS. Faith Elise Maddock, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1477218279

MS. Faith Elise Maddock, FNP-BC is a Nurse Practitioner in Portage, Michigan. Qualified in 2021, 5 years ago. Practices with Bronson Methodist Hospital, a 719-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3200 W Centre Ave Ste 203
Portage, MI 49024-4889
Phone: (269) 324-0799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 363 Fremont St Ste 305, Battle Creek, MI 49017-3391 — (269) 324-0799

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704378304 (MI)

Record details

NPI number1477218279
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedNovember 5, 2021
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bronson Methodist Hospital — 719 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Portage