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

Regan Roetken

Individual provider Physician Assistant · NPI 1912690579

Regan Roetken is a Physician Assistant in Fishers, Indiana. Qualified in 2023, 3 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

8890 E 116th St Ste 300
Fishers, IN 46038-2857
Phone: (317) 621-1500
Fax: (317) 621-1509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 106 Sr-135, Trafalgar, IN 46181 — (317) 878-4972

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004085A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1912690579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2023
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fishers