KRISTEN N AZZUE
NPI 1043175250
Physician Assistant in Fort Wayne, IN

Active since December 19, 2025PECOS Enrolled
11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 266-5400(260) 425-5715 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2026, Apr 3, 2026, Dec 19, 2025 (3 updates tracked since 2025).

About Kristen N Azzue NPPES

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

KRISTEN N AZZUE (NPI 1043175250) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10005238A) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043175250
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN N AZZUE
Location Address11115 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 425-5715
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 19, 2025
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1043175250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10005238A
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.

11115 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kristen N Azzue is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850876608
PECOS Enrollment IDI20260330002070
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 46845 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.

Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR, DEPT. OF NEONATOLOGY
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Genetic Counselor, MS
11115 PARKVIEW PLAZA DR, ATTN: SARAH KING
FORT WAYNE, IN 46845
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner (Family)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043175250, enumerated as an "individual" on December 19, 2025.

The provider is located at 11115 PARKVIEW PLAZA DR FORT WAYNE, IN 46845 and the phone number is (260) 266-5400.

Physician Assistant with taxonomy code 363A00000X.