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

Madeline Grace Reagan

Individual provider Physician Assistant · NPI 1619760782

Madeline Grace Reagan is a Physician Assistant in Columbus, Indiana. Qualified in 2025, 1 year ago. Practices with Franciscan Physician Network, a 1,171-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

4035 Mimosa Dr
Columbus, IN 47201-7200
Phone: (831) 786-5904
Fax: (317) 867-5321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5230 E Stop 11 Rd Ste 150a, Indianapolis, IN 46237-6399 — (317) 865-5904

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004926A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619760782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2025
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Columbus