AMY M POND PA
NPI 1710387121
Physician Assistant in Fort Wayne, IN

Active since September 04, 2014PECOS Enrolled
11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845(260) 266-8900(260) 266-8935 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 30, 2022, Nov 7, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Amy M Pond Pa NPPES

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

AMY M POND PA (NPI 1710387121) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10001828A) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710387121
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY M PONDCredential: PA
Location Address11141 PARKVIEW PLAZA DR STE 305Fort Wayne, IN 46845
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 266-8935
Sole ProprietorNo
Enumeration DateSeptember 4, 2014
Last NPPES UpdateNovember 30, 20225 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
NPI 1710387121 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 · 10001828A Licensed in TX · PA11421 Licensed in OH · 004085
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.
11141 PARKVIEW PLAZA DR STE 305, Fort Wayne, IN 46845

Secondary Practice Locations 2

Location 117520 W Grand Pkwy S Ste 450Sugar Land, TX 77479-4758 · Phone (281) 633-7800 · Fax (281) 633-7815
Location 223920 Katy Fwy Ste 240Katy, TX 77494-0881 · Phone (281) 664-8881 · Fax (281) 644-8879

Other Identifiers 3

Other153449704TX · Medicaid Grp Practice Tpi #
Other00106WTX · Medicare Grp Ptan #
Other0035TDTX · Bcbstx Grp Practice Record #

Accepted 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)

Amy M Pond Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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.

Surgery
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Nurse Practitioner
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Physician Assistant
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Surgery
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Dietitian, Registered
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Surgery (Trauma Surgery)
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Nurse Practitioner
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Nurse Practitioner
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845

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 Amy Pond's NPI number?

The NPI number for Amy Pond is 1710387121. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Where is Amy Pond located?

Amy Pond practices at 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845. The listed phone number is (260) 266-8900.

What is Amy Pond's specialty?

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

Is Amy Pond enrolled in Medicare?

Yes. Amy Pond is registered in the Medicare PECOS enrollment system.

What insurance does Amy Pond accept?

Health plans from Anthem Blue Cross and Blue Shield list Amy Pond 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 Amy Pond was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.