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KATHERINE WAGNER
NPI 1639038789
Physician Assistant in Fort Wayne, IN

Active since January 15, 2026
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845(844) 874-6378 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Katherine Wagner NPPES

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

KATHERINE WAGNER (NPI 1639038789) is an individual physician assistant in Fort Wayne, Indiana and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1639038789
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE WAGNER
Location Address11109 PARKVIEW PLAZA DR # 117Fort Wayne, IN 46845-1701
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(844) 874-6378
Sole ProprietorNo
Enumeration DateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1639038789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
11109 PARKVIEW PLAZA DR # 117, Fort Wayne, IN 46845
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Other Providers at the Same Location NPPES 11

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

EMILY PAIGE YOUNG
Student in an Organized Health Care Education/Training Program
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 266-5700
CIELITO T BIHASA
Physical Therapist
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 355-3235
LYNDSEY BROOKE BALL FNP
Nurse Practitioner (Family)
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (574) 653-1575
ROBERT ALAN PRUETT III AGACNP-BC
Registered Nurse
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 668-0033
IBRAHIM KHURRAM NAWAZ MD
Internal Medicine
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 672-6620
ELIANE SUZANNE COLEMAN
Anesthesiologist Assistant
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 266-1000
NARINE SHIRVANIAN DO
Internal Medicine
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 266-8210
MOHAMED ASKAR
Anesthesiologist Assistant
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 425-6030

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 Katherine Wagner's NPI number?

The NPI number for Katherine Wagner is 1639038789. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Where is Katherine Wagner located?

Katherine Wagner practices at 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845. The listed phone number is (844) 874-6378.

What is Katherine Wagner's specialty?

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

When was this NPI record last updated?

The NPPES record for Katherine Wagner was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.