1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Physician Assistant
  6. NPI Profile

KIERSTEN RENE CARRICO PA-C
NPI 1508203597
Physician Assistant in Fort Wayne, IN

Active since May 30, 2013PECOS Enrolled
90.21/100
CMS Quality Rating
7950 W JEFFERSON BLVD, SUTIE 2121, FORT WAYNE, IN 46804(260) 435-7937(260) 435-7933 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kiersten Rene Carrico Pa-c NPPES

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

KIERSTEN RENE CARRICO PA-C (NPI 1508203597) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (1001557A) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508203597
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIERSTEN RENE CARRICOCredential: PA-C
Location Address7950 W JEFFERSON BLVD, SUTIE 2121Fort Wayne, IN 46804-4140
Mailing Address10351 Dawsons Creek Blvd, Suite A-1Fort Wayne, IN 46825-1904 · (260) 203-9600 · Fax (260) 739-9602
Phone(260) 435-7937
Fax(260) 435-7933
Sole ProprietorNo
Enumeration DateMay 30, 2013
Last NPPES UpdateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
✔ NPI 1508203597 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 · 1001557A
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.
7950 W JEFFERSON BLVD, Fort Wayne, IN 46804
Open in Google Maps ↗

Other Names 1

Former Name (1)Kiersten Rene Yake

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource.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)

Kiersten Rene Carrico Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
40 services40 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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.

90.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.75
Promoting Interoperability100
Improvement Activities40
Cost69.59

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. ANURADHA G BOMMAKANTI M.D.
Internal Medicine (Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
VANESKA BOTTINO DA COSTA M.D.
Pediatrics (Pediatric Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
MISS JACQUELINE SHEPARD
Physician Assistant
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
EMERGENCY PROFESSIONALS OF INDIANA, P.C.
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-2699
PAMELA THOMAS MD
Pediatrics
7950 W JEFFERSON BLVD, SUITE 210
FORT WAYNE, IN 46804
Allen County (260) 432-2297
DR. AHDY MESSIHA M.D.
Radiology (Diagnostic Radiology)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-1568
LESLIE LEINS PHARMD
Pharmacist (Emergency Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7734
GORDON HENRY BOKHART PHARM D.
Pharmacist
7950 W JEFFERSON BLVD, RESEARCH DEPARTMENT
FORT WAYNE, IN 46804
Allen County (260) 435-7718

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 Kiersten Carrico's NPI number?

The NPI number for Kiersten Carrico is 1508203597. It was assigned to this individual provider in the NPPES registry on May 30, 2013. The provider is also known as Kiersten Rene Yake.

Where is Kiersten Carrico located?

Kiersten Carrico practices at 7950 W Jefferson Blvd Sutie 2121, Fort Wayne, IN 46804. The listed phone number is (260) 435-7937.

What is Kiersten Carrico's specialty?

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

Is Kiersten Carrico enrolled in Medicare?

Yes. Kiersten Carrico is registered in the Medicare PECOS enrollment system.

What insurance does Kiersten Carrico accept?

Health plans from AvMed and CareSource list Kiersten Carrico 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.

When was this NPI record last updated?

The NPPES record for Kiersten Carrico was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.