REAGAN POE (PA) – Physician Assistant, NPI 1003843145

REAGAN POE (PA) is a healthcare provider. based in Paducah, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for REAGAN POE (PA) is 1003843145

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
REAGAN POE (PA)
NPI
1003843145
Phone
(270) 444-8183
Address
1903 BROADWAY ST STE B
Enumeration Date
26 June 2006
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
7911950126
Group Practice PAC ID
0244206712
Professional Enrollment ID
I20050301000022
Address ID
KY420017105Pa1903XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for REAGAN POE (PA)

  • 1903 BROADWAY ST STE B

    PADUCAH, KY 420017105

    Phone: (270) 444-8183

    Fax: (270) 444-8147

    Type: Location

  • John Stowe Spur, Campton, Walton County, Georgia, 30656, United States

    CAMPTON, KY 41301

    Phone: (606) 668-6932

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $223.

Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($204).

Total Amount

$223

General + Research + Ownership

Payments

13

Total payment records

General Amount

$223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050301000022IPhysician AssistantKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3117$0
View full utilization report →

Insurance plans in this area (ZIP 42001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244206712View full group profile
NameSpecialtyState
Mental Health CounselorTN
Infectious DiseaseKY

Reviews

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Frequently asked questions

What is the standard ID for REAGAN POE (PA) in the U.S.?
In the U.S., REAGAN POE (PA) is identified by NPI 1003843145.
Is REAGAN POE (PA)'s NPI status active today?
Active status means REAGAN POE (PA)'s NPI record is not deactivated in the public file.
How should patients interpret REAGAN POE (PA)'s specialty?
The extract shows Physician Assistant for REAGAN POE (PA). Clinical services aligned with this taxonomy classification.
What city is tied to REAGAN POE (PA)?
The directory associates REAGAN POE (PA) with Paducah, Kentucky. Check all listed addresses for suites or satellite offices.
Can I export REAGAN POE (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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