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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
Phone(260) 266-5400
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
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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.

DR. ALSTON MICHAEL PORTER M.D.
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR, DEPT. OF NEONATOLOGY
FORT WAYNE, IN 46845
Allen County (260) 672-6400
DR. CANDACE C CALDWELL M.D.
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-6400
SARAH E BRANDENBERGER MS, CGC
Genetic Counselor, MS
11115 PARKVIEW PLAZA DR, ATTN: SARAH KING
FORT WAYNE, IN 46845
Allen County (260) 266-8271
BEATRICE K TROXELL NP
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6443
OLUREMI C ADESIDA M.D.
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 373-9965
RACHEL M MILLER N.P.
Nurse Practitioner (Family)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-5400
ATIYA S. KHAN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-5400
DR. JAYESH P PATEL M.D.
Pediatrics
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Azzue's NPI number?

The NPI number for Kristen Azzue is 1043175250. It was assigned to this individual provider in the NPPES registry on December 19, 2025.

Where is Kristen Azzue located?

Kristen Azzue practices at 11115 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-5400.

What is Kristen Azzue's specialty?

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

Is Kristen Azzue enrolled in Medicare?

Yes. Kristen Azzue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Azzue was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.