STACEY M BOSWELL PA
NPI 1114268125
Physician Assistant in Fort Wayne, IN

Active since March 15, 2013PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845(260) 266-8900(260) 266-8935 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2022, Mar 8, 2018 (2 updates tracked since 2018).

About Stacey M Boswell Pa NPPES

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

STACEY M BOSWELL PA (NPI 1114268125) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10001506A) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114268125
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACEY M BOSWELLCredential: PA
Location Address11141 PARKVIEW PLAZA DR STE 305Fort Wayne, IN 46845-1715
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 266-8935
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 15, 2013
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
NPI 1114268125 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 · 10001506A
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.
11141 PARKVIEW PLAZA DR STE 305, Fort Wayne, IN 46845

Other Names 1

Former Name (1)Stacey Marie Sudhoff

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacey M Boswell Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608015433
PECOS Enrollment IDI20130626000753
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

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.

Surgery
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Nurse Practitioner
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Surgery
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Dietitian, Registered
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Surgery (Trauma Surgery)
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Nurse Practitioner
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Nurse Practitioner
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Surgery
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845

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 Stacey Boswell's NPI number?

The NPI number for Stacey Boswell is 1114268125. It was assigned to this individual provider in the NPPES registry on March 15, 2013. The provider is also known as Stacey Marie Sudhoff.

Where is Stacey Boswell located?

Stacey Boswell practices at 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845. The listed phone number is (260) 266-8900.

What is Stacey Boswell's specialty?

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

Is Stacey Boswell enrolled in Medicare?

Yes. Stacey Boswell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacey Boswell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Stacey Boswell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stacey Boswell affiliated with any hospitals?

According to CMS data, Stacey Boswell is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stacey Boswell was last updated on December 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.