NPIMap

Individual provider Active NPI

Krista Mae Lynett Reagan, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Olympia, WA
National Provider Identifier
1720251523
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
MD60679236 Issued in WA
Practice address
615 Lilly Rd NE Ste 220
Olympia, WA 98506-5137
Phone
(360) 493-4015
Fax
(360) 493-7472
NPI assigned
Apr 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X MD60679236 WA Primary

Addresses

Primary practice location

615 Lilly Rd NE Ste 220
Olympia, WA 98506-5137

Mailing address

615 Lilly Rd NE Ste 220
Olympia, WA 98506-5137
Phone (360) 493-4015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161202001318 WA Practitioner - UrologyPractitioner - Obstetrics/Gynecology 7315194412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Obstetrics/Gynecology
Education
University of Washington School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 493-4083

525 Lilly Rd NE
Olympia, WA 98506-5101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Oct 1, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Oct 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 7, 2023 Accepting new patients
Multicare Health System CurrentSince Oct 22, 2016 Accepting new patients
Multicare Health System Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 7, 2023 Accepting new patients
Multicare Health System CurrentSince Oct 22, 2016 Accepting new patients
Providence Health & Services Washington CurrentSince Mar 3, 2025 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

615 Lilly Rd NE
Ste 220
Olympia, WA 98506
Phone (360) 486-6150

1018 Capitol Way S
Ste 300
Olympia, WA 98501
Phone (360) 486-6508

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • Direct secure messaging: kreagan3752266@wm.providencedirect.org

Organizations & group practices 8

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 3

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": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1720251523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LILLY RD NE STE 220",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065137",
            "telephone_number": "360-493-4015",
            "fax_number": "360-493-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LILLY RD NE STE 220",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065137",
            "telephone_number": "360-493-4015",
            "fax_number": "360-493-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "KRISTA",
        "middle_name": "MAE LYNETT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-12",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "WA",
            "license": "MD60679236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.