Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REEGAN PAIGE STUMP PA-C
NPI 1700615424
Physician Assistant in South Bend, IN

Q: What is Reegan Stump's NPI number?

The NPI number for Reegan Stump is 1700615424. It was assigned to this individual provider in the NPPES registry on July 31, 2024. The provider is also known as Reegan Miller.

Q: What is Reegan Stump's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Reegan Stump was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2024PECOS Enrolled

211 N EDDY ST, SOUTH BEND, IN 46617(574) 233-7337 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 21, 2026, Aug 15, 2024, Jul 31, 2024 (3 updates tracked since 2024).

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About Reegan Paige Stump Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REEGAN PAIGE STUMP PA-C (NPI 1700615424) is an individual physician assistant in South Bend, Indiana, licensed in Indiana (10004466A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700615424

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameREEGAN PAIGE STUMPCredential: PA-C

Location Address211 N EDDY STSouth Bend, IN 46617-3096

Mailing Address801 Bainbridge PlGoshen, IN 46526-5528 · (574) 354-8895

Phone(574) 233-7337

Sole ProprietorNo

Enumeration DateJuly 31, 2024

Last NPPES UpdateAugust 21, 20263 updates tracked since enumeration

NPPES CertifiedAugust 21, 2026

✔ NPI 1700615424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10004466A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10004466A (IN)

211 N EDDY ST, South Bend, IN 46617

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Other Names 1

Former Name (1)Reegan Miller

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reegan Paige Stump Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUTUMN MARIE HANNA PA

Physician Assistant