NATHANIEL S LEAHY PA-C
NPI 1295607679
Physician Assistant in Fort Wayne, IN

Active since September 23, 2025PECOS EnrolledAccepts Medicare Assignment
4402 E STATE BLVD, FORT WAYNE, IN 46815(260) 425-5500(260) 425-5505 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 2, 2026, Dec 1, 2025 (2 updates tracked since 2025).

About Nathaniel S Leahy Pa-c NPPES

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

NATHANIEL S LEAHY PA-C (NPI 1295607679) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10005078A) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1295607679
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNATHANIEL S LEAHYCredential: PA-C
Location Address4402 E STATE BLVDFort Wayne, IN 46815-6917
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 425-5505
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 23, 2025
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1295607679 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 · 10005078A
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.

4402 E STATE BLVD, Fort Wayne, IN 46815

Other Names 1

Other Name (5)Nate Leahy Pa-c

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

Nathaniel S Leahy Pa-c 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 ID941786743
PECOS Enrollment IDI20260112002082
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.

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 46815 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 15

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

Pharmacy (Clinic Pharmacy)
4402 E STATE BLVD
FORT WAYNE, IN 46815
Registered Nurse (General Practice)
4402 E STATE BLVD
FORT WAYNE, IN 46815
Pharmacist
4402 E STATE BLVD
FT WAYNE, IN 46815
Family Medicine
4402 E STATE BLVD
FORT WAYNE, IN 46815
Family Medicine
4402 E STATE BLVD
FORT WAYNE, IN 46815
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4402 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner
4402 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner
4402 E STATE BLVD
FORT WAYNE, IN 46815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295607679, enumerated as an "individual" on September 23, 2025.

The provider is located at 4402 E STATE BLVD FORT WAYNE, IN 46815 and the phone number is (260) 425-5500.

Physician Assistant with taxonomy code 363A00000X.

Nathaniel Leahy is affiliated with: PARKVIEW REGIONAL MEDICAL CENTER.