Individual provider Active NPI

Madeline Shane Gebhardt

  • Physician Assistant
  • Monroe, LA
National Provider Identifier
1942811559
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
351703 Issued in LA
Practice address
407 Fox Den TRL
Monroe, LA 71203-6016
Phone
(318) 372-0690
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 351703 LA Primary
Registered Dietitian 133V00000X 86117006 LA

Addresses

Primary practice location

407 Fox Den TRL
Monroe, LA 71203-6016

Mailing address

407 Fox Den TRL
Monroe, LA 71203-6016
Phone (318) 372-0690

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.gethealthie.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260508002419 LA Practitioner - Physician Assistant 8628497930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Emergency Physicians LLCGroup PAC ID 8820405079, 13 clinicians

Practice addresses (Care Compare)

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86117006LAMDRegistered Dietitian
351703LAMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1942811559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 FOX DEN TRL",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036016",
            "telephone_number": "318-372-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 FOX DEN TRL",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036016",
            "telephone_number": "318-372-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARDT",
        "first_name": "MADELINE",
        "middle_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "351703",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "86117006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.gethealthie.com",
            "affiliation": "N",
            "endpointDescription": "A comprehensive practice management and telehealth platform for heath and wellness professionals. Healthie is HIPAA, PIPEDA, GDPR, and PCI-compliant.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "407 Fox Den Trl",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712036016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.