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

AUSTIN SHEPARD
NPI 1194595090
Physician Assistant in Fort Wayne, IN

Active since January 03, 2024PECOS Enrolled
3946 ICE WAY, FORT WAYNE, IN 46805(260) 266-4007(260) 266-4008 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 18, 2026, Jan 3, 2024 (2 updates tracked since 2024).

About Austin Shepard NPPES

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

AUSTIN SHEPARD (NPI 1194595090) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10004311A) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1194595090
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameAUSTIN SHEPARD
Location Address3946 ICE WAYFort Wayne, IN 46805-1018
Mailing Address7910 W Jefferson Blvd Ste 102Fort Wayne, IN 46804-4159
Fax(260) 266-4008
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 3, 2024
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1194595090 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 · 10004311A
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.
3946 ICE WAY, Fort Wayne, IN 46805

Secondary Practice Location 1

Location 17950 W Jefferson BlvdFort Wayne, IN 46804-4140 · Phone (260) 435-7001

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

Austin Shepard 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 ID6406294198
PECOS Enrollment IDI20240401000668
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.

Hospital Affiliations CMS Care Compare

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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.

Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Contractor
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805

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 Austin Shepard's NPI number?

The NPI number for Austin Shepard is 1194595090. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Austin Shepard located?

Austin Shepard practices at 3946 Ice Way, Fort Wayne, IN 46805. The listed phone number is (260) 266-4007.

What is Austin Shepard's specialty?

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

Is Austin Shepard enrolled in Medicare?

Yes. Austin Shepard 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.

Is Austin Shepard affiliated with any hospitals?

According to CMS data, Austin Shepard is affiliated with Lutheran Hospital Of Indiana.

When was this NPI record last updated?

The NPPES record for Austin Shepard was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.