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

CAROLINE MACKENZIE FUGATE PA-C
NPI 1356066112
Physician Assistant in Indianapolis, IN

Q: What is Caroline Fugate's NPI number?

The NPI number for Caroline Fugate is 1356066112. It was assigned to this individual provider in the NPPES registry on October 5, 2022. The provider is also known as Mackenzie Fugate Pa-C.

Q: What is Caroline Fugate's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Caroline Fugate was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 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.

Active since October 05, 2022PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 274-4491 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 4, 2026, Oct 5, 2022 (2 updates tracked since 2022).

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About Caroline Mackenzie Fugate Pa-c NPPES

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

CAROLINE MACKENZIE FUGATE PA-C (NPI 1356066112) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10005338A) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Wake Forest University School Of Medicine (2022).

NPPES Registry Identity

NPI1356066112

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCAROLINE MACKENZIE FUGATECredential: PA-C

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 274-4491

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 2022

Enumeration DateOctober 5, 2022

Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1356066112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IN · 10005338A✔ Licensed in TX · PA15955

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.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Names 1

Other Name (5)Mackenzie Fugate Pa-c

Secondary Practice Location 1

Location 16701 Fannin St Ste 1210Houston, TX 77030-2612 · Phone (832) 824-1000

Other Identifiers 2

Medicaid300133197IN

OtherPA15955TX · Texas Physician Assistant License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Mackenzie Fugate Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658845763

PECOS Enrollment IDI20260630001924

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 46202 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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)