Madeleine Grace Vinson
Individual provider Active NPI Physician Assistant · Santa Claus, IN
NPI 1982405239 · NPPES record last updated Mar 22, 2025
Key facts
- NPI
- 1982405239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 396 S Madonna Dr
Santa Claus, IN 47579-6029 - Phone
- (812) 499-1320
- NPI assigned
- Mar 22, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Specialty Physicians, Inc
Practice addresses (Care Compare)
1900 Saint Charles St
Jasper, IN 47546-9145
Phone (812) 634-1211
Hospital & facility affiliations
- Memorial Hospital and Health Care Center
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260518003257 | IN | Practitioner - Physician Assistant | 2668941717 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Specialty Physicians, Inc | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- mvinson221781@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
396 S Madonna Dr
Santa Claus, IN 47579-6029
Mailing address
396 S Madonna Dr
Santa Claus, IN 47579-6029
Other providers in Santa Claus, IN
- Victoria Lynn Painter
- Joseph Leland Rapp'E
- Santa Claus Vol. Fire Dept. Inc.
- Debra Schroer
- Paige A Tolbert
- Jessica R Wittman
- Your Family Pharmacy LLC
All providers in Santa Claus, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2025. 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.