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MRS. CARISSA L ASHTARY YAZDI PA-C
NPI 1609224732
Physician Assistant in Fort Wayne, IN

Active since May 31, 2016
5050 N CLINTON ST, FORT WAYNE, IN 46825(260) 484-8551(260) 482-5060 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2018, Oct 30, 2018, Oct 23, 2018 and 2 more (5 updates tracked since 2018).

About Mrs. Carissa L Ashtary Yazdi Pa-c NPPES

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

MRS. CARISSA L ASHTARY YAZDI PA-C (NPI 1609224732) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10002381A) and active in the NPI registry since May 2016. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1609224732
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. CARISSA L ASHTARY YAZDICredential: PA-C
Location Address5050 N CLINTON STFort Wayne, IN 46825
Mailing Address5052 N Clinton StFort Wayne, IN 46825-5822 · (260) 484-8551 · Fax (260) 482-5060
Phone(260) 484-8551
Fax(260) 482-5060
Sole ProprietorNo
Enumeration DateMay 31, 2016
Last NPPES UpdateNovember 8, 20185 updates tracked since enumeration
✔ NPI 1609224732 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 · 10002381A
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.
5050 N CLINTON ST, Fort Wayne, IN 46825
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Other Names 1

Former Name (1)Carissa L Libbenga Pa-c

Secondary Practice Locations 3

Location 11500 Provident Dr Ste BWarsaw, IN 46580-3297 · Phone (574) 269-8301 · Fax (574) 269-8302
Location 27920 W Jefferson BlvdFort Wayne, IN 46804-4168 · Phone (260) 484-8551 · Fax (260) 482-5060
Location 311136 Parkview Circle DrFort Wayne, IN 46845-1730 · Phone (260) 484-8551 · Fax (260) 482-5060

Other Identifiers 1

Medicaid300009169IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.
15 services15 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
11 services11 patients

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.

ANTHONY DZIGBORDI
Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 484-8551
ABIGAIL MCKENSEY GANN PA
Physician Assistant
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 484-8551
LISA A TOMPA CRNA
Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 484-8551
NATHAN NOTTER P.T.
Physical Therapist
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 471-6202
MR. CRAIG A DYER ATC
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FT WAYNE, IN 46825
Allen County (260) 484-8551
SARAH ANNE LASALLE D.O.
Anesthesiology
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 484-8551
FELICIA WEHRLE
Nurse Practitioner
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 484-8551
KAY ELIZABETH BROWN
Registered Nurse (Orthopedic)
5050 N CLINTON ST
FORT WAYNE, IN 46825
Allen County (260) 408-2035

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 Carissa Ashtary Yazdi's NPI number?

The NPI number for Carissa Ashtary Yazdi is 1609224732. It was assigned to this individual provider in the NPPES registry on May 31, 2016. The provider is also known as Carissa L Libbenga Pa-C.

Where is Carissa Ashtary Yazdi located?

Carissa Ashtary Yazdi practices at 5050 N Clinton St, Fort Wayne, IN 46825. The listed phone number is (260) 484-8551.

What is Carissa Ashtary Yazdi's specialty?

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

What insurance does Carissa Ashtary Yazdi accept?

Health plans from CareSource list Carissa Ashtary Yazdi 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 Carissa Ashtary Yazdi was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.