Christie M Reagan, MD
Individual provider Active NPI Emergency Medicine Physician · Boonville, IN
NPI 1447298971 · NPPES record last updated Aug 10, 2022
Key facts
- NPI
- 1447298971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01059425A (IN)
- Practice address
- 1116 Millis Ave
Suite 201a
Boonville, IN 47601-2204 - Phone
- (812) 897-7381
- Fax
- (812) 897-7331
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Marys Medical Group LLC
Practice addresses (Care Compare)
801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236
Hospital & facility affiliations
- Ascension at Home
- Ascension St Vincent Warrick
- Ascension St Vincent Evansville
- Deaconess Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041019000766 | IN | Practitioner - Emergency Medicine |
6709847221 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01059425A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| St Mary'S Medical Group, LLC | Current |
Accepting new patients | |
| St Mary'S Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| Primary Physicians Network LLC | Family Medicine | Current | Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| St. Mary'S Health, Inc | Past | Accepting new patients | |
| St. Mary'S Health, Inc | Family Medicine | Past | Accepting new patients |
| Family Counseling Service, LLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800
1116 Millis Ave
Ste 101
Boonville, IN 47601
Phone (812) 897-7175
1116 Millis Ave
Ste 201A
Boonville, IN 47601
Phone (812) 897-7381
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236
1400 Professional Blvd
Ste 210
Evansville, IN 47714
6221 Physicians Ct
Evansville, IN 47715
Phone (812) 491-3236
7839 S Professional Dr
Fort Branch, IN 47648
Phone (812) 753-5903
7240 S US Highway 231
Huntingburg, IN 47542
Phone (812) 683-6336
100 St Marys Epworth Xing
Newburgh, IN 47630
Phone (812) 485-4437
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01059425A | IN | |
| Emergency Medicine Physician | 207P00000X | 01059425A | IN | Yes |
Addresses
Primary practice location
1116 Millis Ave
Suite 201a
Boonville, IN 47601-2204
Mailing address
1116 Millis Ave Ste 101
Boonville, IN 47601-2226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000339553 | Other | IN | ANTHEM PROVIDER# |
| 200493800 | Medicaid | IN | |
| 100180890F | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christie.reagan.1@7598.direct.athenahealth.com | St Mary's Medical Group, LLC |
Other providers in Boonville, IN
- Kenneth R Parker
- Keith A Phillips
- Prorehab, Inc
- R Bacon Enterprises Inc
- Mai-Linh L Rafferty
- Onyekachi John Robert-Eze
- Sarah Elizabeth Salee
- Natalie Sauls
- Paul Sepp-Gumbert
- Gwendolyn Shelton
All providers in Boonville, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.