Individual provider Active NPI

Madelyn Rose Riels, DO

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1265060479
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
343560 Issued in LA
Practice address
105 University Avenue
Monroe, LA 71203
Phone
(318) 966-8266
NPI assigned
Apr 1, 2020
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO5088 TN
Family Medicine Physician 207Q00000X 343560 LA Primary

Addresses

Primary practice location

105 University Avenue
Monroe, LA 71203

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (318) 966-8266

Other practice location 1

1200 Celebrity Dr
Ruston, LA 71270-3893
Phone (318) 254-2113

Other names 1

  • Madelyn Rose Bagwell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230718003834 TN Practitioner - Family Practice 9931520285 Reassigns benefits to 1 organization
I20241007001247 LA Practitioner - Family Practice 9931520285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Ruston LLCGroup PAC ID 7315361425, 24 clinicians

Practice addresses (Care Compare)

411 E Vaughn Ave
Suite 104
Ruston, LA 71270-5975
Phone 31825424535975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
74.15
Promoting interoperability
77
Improvement activities
40
Cost
78.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO5088TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Ruston LLC Family Medicine CurrentSince Sep 23, 2024 Accepting new patients
CLHG-Ruston LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Hospital Medicine Services of Tennessee PC Family Medicine CurrentSince May 1, 2024 Accepting new patients
CLHG-Ruston LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

1200 Celebrity Dr
Ruston, LA 71270
Phone (318) 232-1599

1200 Celebrity Dr
Ste 1
Ruston, LA 71270
Phone (318) 225-8271

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

411 E Vaughn Ave
Ste 104
Ruston, LA 71270
Phone (318) 254-2453

631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

Interoperability endpoints

  • Direct secure messaging: madelyn.riels.1@26990.direct.athenahealth.com

Organizations & group practices 4

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

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1265060479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "318-966-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 UNIVERSITY AVENUE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71203",
            "telephone_number": "318-966-8266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Celebrity Dr",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712703893",
            "country_code": "US",
            "telephone_number": "318-254-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIELS",
        "first_name": "MADELYN",
        "middle_name": "ROSE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO5088",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "343560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELYN",
            "last_name": "BAGWELL",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.