ASHLEY M GROELLER PAC
NPI 1891026795
Physician Assistant in Fort Wayne, IN

Active since January 18, 2010PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
3909 NEW VISION DR, FORT WAYNE, IN 46845(260) 469-6610(260) 969-3065 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 6, 2026, Oct 20, 2022, Aug 5, 2020 and 1 more (4 updates tracked since 2018).

About Ashley M Groeller Pac NPPES

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

ASHLEY M GROELLER PAC (NPI 1891026795) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10001390A) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1891026795
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY M GROELLERCredential: PAC
Location Address3909 NEW VISION DRFort Wayne, IN 46845-1725
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 969-3065
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 18, 2010
Last NPPES UpdateJanuary 6, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
NPI 1891026795 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 · 10001390A Licensed in MT · 36064
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.

3909 NEW VISION DR, Fort Wayne, IN 46845

Other Names 1

Former Name (1)Ashley M Schrader

Secondary Practice Locations 2

Location 1442 W High StBryan, OH 43506-1681 · Phone (419) 636-4517 · Fax (419) 636-6438
Location 28 John Kissinger DrWabash, IN 46992-1648 · Phone (260) 563-7451 · Fax (260) 569-2284

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 and accepts Medicare assignment

Ashley M Groeller Pac 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 ID7012045909
PECOS Enrollment IDI20120508000604
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services28 patients

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

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.

Physical Medicine & Rehabilitation
3909 NEW VISION DR, SUITE 1
FORT WAYNE, IN 46845
Dietitian, Registered
3909 NEW VISION DR
FORT WAYNE, IN 46845
Dietitian, Registered
3909 NEW VISION DR
FORT WAYNE, IN 46845
Pediatrics
3909 NEW VISION DR
FORT WAYNE, IN 46845
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Dietitian, Registered
3909 NEW VISION DR
FORT WAYNE, IN 46845
Dietitian, Registered
3909 NEW VISION DR
FORT WAYNE, IN 46845
Dietitian, Registered
3909 NEW VISION DR
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891026795, enumerated as an "individual" on January 18, 2010.

The provider is located at 3909 NEW VISION DR FORT WAYNE, IN 46845 and the phone number is (260) 469-6610.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.