Magnificat Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01074227A Issued in IN

Legal business name

MAGNIFICAT FAMILY MEDICINE, LLC

Practice address

8240 Naab Rd Ste 416
Indianapolis, IN 46260-0012

Phone

(317) 306-5588

Fax

(317) 550-1544

NPI assigned

Jan 26, 2015

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Casey L Reising, M.D.

Title

Director/Founder

Phone

(317) 306-5588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Spencer Deig, DO

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1518497981
  Medicare reassignment NPD
• Casey L Delcoco, MD

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1720379498
  Medicare reassignment NPD
• Lauren Kristina Dill, NP

  • Nurse Practitioner
  • Noblesville, IN
  • NPI 1205179678
  Medicare reassignment NPD
• Krystle Jeaneen Roberts, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1487066015
  Medicare reassignment NPD
• Amber Marie Hibbert, PA

  • Physician Assistant
  • Richmond, IN
  • NPI 1467788141
  Medicare reassignment
• Allison Carolyn Baldwin, ATC, PA-C

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1811375892
  NPD
• Rachel Margaret Yuska Bott, PA-C

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1598476871
  NPD
• Maryssa Depies

  • Medical Physician Assistant
  • Indianapolis, IN
  • NPI 1144902206
  NPD
• Melissa Ann Mullens, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1295338119
  NPD (past)
• Rebekah Venable, PA-C

  • Family Medicine Physician
  • Centennial, CO
  • NPI 1366084329
  NPD (past)

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1427448729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 NAAB RD STE 416",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462600012",
            "telephone_number": "317-306-5588",
            "fax_number": "317-550-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 NAAB RD STE 416",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462600012",
            "telephone_number": "317-306-5588",
            "fax_number": "317-550-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFICAT FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "REISING",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/FOUNDER",
        "authorized_official_telephone_number": "317-306-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01074227A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mona Raissel L Maglangit
• Dean D.T. Maglinte, MD
• Magnificent Homecare LLC
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• Magnolia Angels LLC

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.