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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMANTHA JO SHULTZ CAA
NPI 1720986912
Anesthesiologist Assistant in Fort Wayne, IN

Active since October 28, 2026
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845(260) 409-6119 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samantha Jo Shultz Caa NPPES

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

SAMANTHA JO SHULTZ CAA (NPI 1720986912) is an individual anesthesiologist assistant in Fort Wayne, Indiana and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1720986912
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameSAMANTHA JO SHULTZCredential: CAA
Location Address11109 PARKVIEW PLAZA DR # 117Fort Wayne, IN 46845-1701
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 409-6119
Sole ProprietorNo
Enumeration DateOctober 28, 2026
NPPES CertifiedOctober 28, 2026
✔ NPI 1720986912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
11109 PARKVIEW PLAZA DR # 117, Fort Wayne, IN 46845
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Other Providers at the Same Location NPPES 15

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

KIRSTIN KINNIRY
Registered Nurse (Medical-Surgical)
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 425-6402
CIELITO T BIHASA
Physical Therapist
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 355-3235
THOMAS REGGANIE
Physician Assistant (Surgical)
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (815) 641-3030
SHEALEIGH ANN GALLOWAY
Physician Assistant
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 266-5700
LYNDSEY BROOKE BALL FNP
Nurse Practitioner (Family)
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (574) 653-1575
KEVIN CHILDS
Registered Nurse
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845
Allen County (260) 266-1000
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

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 Samantha Shultz's NPI number?

The NPI number for Samantha Shultz is 1720986912. It was assigned to this individual provider in the NPPES registry on October 28, 2026.

Where is Samantha Shultz located?

Samantha Shultz practices at 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845. The listed phone number is (260) 409-6119.

What is Samantha Shultz's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

When was this NPI record last updated?

The NPPES record for Samantha Shultz was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.