Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madison Elizabeth McNeely, PA-C

Individual provider Physician Assistant · NPI 1114807211

Madison Elizabeth McNeely, PA-C is a Physician Assistant in Bloomington, Indiana. Qualified in 2025, 1 year ago. Practices with Dermatology Center of Southern Indiana PC, a 14-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
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1200 S Rogers St
Bloomington, IN 47403-4792
Phone: (812) 339-6434
Fax: (812) 331-0196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1625 O St, Bedford, IN 47421-4116 — (812) 339-6434

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10005213A (IN)

Record details

NPI number1114807211
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 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 Dermatology Center Of Southern Indiana Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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