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TYSON AGNEW PA
NPI 1801614524
Physician Assistant in Fort Wayne, IN

Active since October 01, 2024PECOS EnrolledAccepts Medicare Assignment
5050 N CLINTON ST, FORT WAYNE, IN 46825(260) 484-8551(260) 482-5060 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyson Agnew Pa NPPES

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

TYSON AGNEW PA (NPI 1801614524) is an individual physician assistant in Fort Wayne, Indiana and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1801614524
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYSON AGNEWCredential: PA
Location Address5050 N CLINTON STFort Wayne, IN 46825-5886
Mailing Address5052 N Clinton StFort Wayne, IN 46825-5822 · (260) 484-8551
Phone(260) 484-8551
Fax(260) 482-5060
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
✔ NPI 1801614524 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.
5050 N CLINTON ST, Fort Wayne, IN 46825
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Secondary Practice Locations 3

Location 111136 Parkview Circle DrFort Wayne, IN 46845-1730 · Phone (260) 484-8551 · Fax (260) 482-5060
Location 28202 Glencarin Blvd Ste 300Fort Wayne, IN 46804-5783 · Phone (260) 484-8551 · Fax (260) 482-5060
Location 31500 Provident Dr Ste BWarsaw, IN 46580-3297 · Phone (574) 269-8301 · Fax (574) 269-8302

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Tyson Agnew Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143756718
PECOS Enrollment IDI20241205002260
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Orthopaedic Hospital At Parkview North

Acute Care Hospitals · Fort Wayne, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150167
Location11130 Parkview Circle DrFort Wayne, IN 46845 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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.

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 Tyson Agnew's NPI number?

The NPI number for Tyson Agnew is 1801614524. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Tyson Agnew located?

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

What is Tyson Agnew's specialty?

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

Is Tyson Agnew enrolled in Medicare?

Yes. Tyson Agnew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tyson Agnew accept?

Health plans from CareSource list Tyson Agnew 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.

Is Tyson Agnew affiliated with any hospitals?

According to CMS data, Tyson Agnew is affiliated with Parkview Regional Medical Center, Parkview Huntington Hospital, Parkview Whitley Hospital and Orthopaedic Hospital At Parkview North.

When was this NPI record last updated?

The NPPES record for Tyson Agnew was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.