Individual provider Active NPI

Madison Gail Zigenfus, PA-C

  • Physician Assistant
  • Muncie, IN
National Provider Identifier
1154904290
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3631 N Morrison Rd
Muncie, IN 47304-5547
Phone
(765) 281-3443
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10003301A IN
Physician Assistant 363A00000X IN Primary

Addresses

Primary practice location

3631 N Morrison Rd
Muncie, IN 47304-5547

Mailing address

3631 N Morrison Rd
Muncie, IN 47304-5547
Phone (765) 281-3443

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address madison.koesterpac.p39@direct.ahni.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210827001553 IN Practitioner - Physician Assistant 5991100075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10003301AINMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Sep 13, 2021 Accepting new patients
American Health Network of Indiana, LLC CurrentSince Sep 13, 2021 Accepting new patients
American Health Network of Indiana, LLC Past Accepting new patients

Locations

10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

3631 N Morrison Rd
Muncie, IN 47304
Phone (765) 281-3443

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1154904290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 N MORRISON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045547",
            "telephone_number": "765-281-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 N MORRISON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045547",
            "telephone_number": "765-281-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIGENFUS",
        "first_name": "MADISON",
        "middle_name": "GAIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10003301A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madison.koesterpac.p39@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3631 N Morrison Rd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473045547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.