Individual provider Active NPI

Madison Gogel, PA-C

  • Physician Assistant
  • Jasper, IN
National Provider Identifier
1417611633
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003404A Issued in IN
Practice address
4115 Mannheim Rd
Jasper, IN 47546-2964
Phone
(812) 476-7111
Fax
(812) 476-7117
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3218 KY
Physician Assistant 363A00000X 10003404A IN Primary

Addresses

Primary practice location

4115 Mannheim Rd
Jasper, IN 47546-2964

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other practice location 1

3903 S 7th St Ste 1A
Terre Haute, IN 47802-5710
Phone (812) 476-7111

Other practice location 2

1025 1st Ave W
Jasper, IN 47546-3217
Phone (812) 476-7111

Other practice location 3

5435 Pearl Dr Ste 4
Evansville, IN 47712-8103
Phone (812) 476-7111

Other practice location 4

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Other practice location 5

2609 New Hartford Rd Ste 3
Owensboro, KY 42303-1394
Phone (812) 476-7111

Other practice location 6

700 Kimber Ln
Evansville, IN 47715-2803
Phone (812) 476-7111

Other practice location 7

520 S 7th St # 159
Vincennes, IN 47591-1038
Phone (812) 316-0327

Other identifiers 2

IdentifierTypeStateIssuer
300056089MedicaidIN
7100833000MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address madison.gogel.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211027000526 IN Practitioner - Physician Assistant 4183012024 Reassigns benefits to 2 organizations
I20231009002122 KY Practitioner - Physician Assistant 4183012024 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
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

1025 1St Ave W
Jasper, IN 47546-3217
Phone (812) 476-7111

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

2609 New Hartford Rd
Suite 3
Owensboro, KY 42303-1316
Phone (812) 476-7111

4115 Mannheim Rd
Jasper, IN 47546-2964
Phone (812) 476-7111

520 S 7TH St
Suite 159
Vincennes, IN 47591-1038
Phone (812) 962-7890

600 W 13TH St
Suite 268
Jasper, IN 47546-1881
Phone (812) 476-7111

700 Kimber LN
Evansville, IN 47715-2803
Phone (812) 476-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince May 8, 2023 Accepting new patients
Commonwealth Pain Associates, PLLC Physician Assistant CurrentSince May 8, 2023 Accepting new patients
Pain Management Centers of America, PSC Physician Assistant CurrentSince Oct 25, 2021 Accepting new patients

Locations

5435 Pearl Dr
Ste 4
Evansville, IN 47712
Phone (810) 347-6711

1101 Professional Blvd
Ste 100
Evansville, IN 47714
Phone (812) 573-1207

700 Kimber Ln
Evansville, IN 47715

1025 1st Ave W
Jasper, IN 47546
Phone (812) 482-6066

4115 Mannheim Rd
Jasper, IN 47546
Phone (812) 482-4347

600 W 13th St
Ste 268
Jasper, IN 47546

3903 S 7th St
Ste 1A
Terre Haute, IN 47802
Phone (812) 237-1411

520 S 7th St
Ste 159
Vincennes, IN 47591
Phone (812) 962-7890

223 Executive Park
Louisville, KY 40207

1195 S Main St
#D
Madisonville, KY 42431
Phone (812) 505-2164

2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000

67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: madison.gogel.1@16521.direct.athenahealth.com

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 1

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1417611633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MANNHEIM RD",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462964",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3903 S 7th St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478025710",
            "country_code": "US",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 1st Ave W",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475463217",
            "country_code": "US",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5435 Pearl Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477128103",
            "country_code": "US",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2609 New Hartford Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031394",
            "country_code": "US",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Kimber Ln",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477152803",
            "country_code": "US",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 S 7th St # 159",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911038",
            "country_code": "US",
            "telephone_number": "812-316-0327",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOGEL",
        "first_name": "MADISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3218",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003404A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300056089",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100833000",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madison.gogel.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "1025 1st Ave W",
            "city": "Jasper",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475463217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.