PATRICK ANDREW MACKNICK PA-C
NPI 1861647000
Physician Assistant in Fort Wayne, IN

Q: What is Patrick Macknick's NPI number?

The NPI number for Patrick Macknick is 1861647000. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Q: What is Patrick Macknick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patrick Macknick was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 01, 2008PECOS EnrolledAccepts Medicare Assignment

11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 482-5091 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Patrick Andrew Macknick Pa-c NPPES

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

PATRICK ANDREW MACKNICK PA-C (NPI 1861647000) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10001054A) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Cameron Memorial Community Hospital Inc, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1861647000

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePATRICK ANDREW MACKNICKCredential: PA-C

Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701

Mailing Address608 Union Chapel RdFort Wayne, IN 46845-9357 · (260) 482-5091

Phone(260) 482-5091

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateDecember 1, 2008

Last NPPES UpdateMarch 30, 2026

NPPES CertifiedMarch 30, 2026

✔ NPI 1861647000 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 · 10001054A

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, Fort Wayne, IN 46845

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Other Identifiers 2

Other000000614685IN · Anthem

OtherP00755205IN · Medicare Rr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Patrick Andrew Macknick Pa-c 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 ID6103973144

PECOS Enrollment IDI20100419000594

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

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

Cameron Memorial Community Hospital Inc

Critical Access Hospitals · Angola, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151315

Location416 E Maumee StAngola, IN 46703 · Steuben County

Emergency services Birthing friendly

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.

AHMAD ALHARIRI MD

Internal Medicine