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SUZANNE M SMITH PA-C
NPI 1932187952
Physician Assistant in Fort Wayne, IN

Active since January 09, 2006PECOS Enrolled
2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 373-4000(260) 482-4442 Get Directions Write a Review

NPPES record last updated: June 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suzanne M Smith Pa-c NPPES

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

SUZANNE M SMITH PA-C (NPI 1932187952) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10000320A) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932187952
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUZANNE M SMITHCredential: PA-C
Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638
Mailing Address3640 New Vision Dr, Suite AFort Wayne, IN 46845-1716 · (260) 482-4440 · Fax (260) 482-4442
Phone(260) 373-4000
Fax(260) 482-4442
Sole ProprietorNo
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJune 7, 2013
✔ NPI 1932187952 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 · 10000320A
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.
2200 RANDALLIA DR, Fort Wayne, IN 46805
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Other Identifiers 3

Medicare UPINS81561IN
Medicare ID-Type Unspecified047840BBBIN
Other970006353IN · Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzanne M Smith Pa-c 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 46805 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.

MALLIKA GYAWALI MD
Internal Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
CHRISTINA MCGUIRK
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MS. KARI M RASMUSSEN PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MR. THOMAS G EDWARDS PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Pediatrics (Neonatal-Perinatal Medicine)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (800) 727-8439
JACQUOLYNN LEE PLOUGHE BSN, RN, CRRN
Registered Nurse
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 266-4172
DAVID R WANG DO, MPH
Student in an Organized Health Care Education/Training Program
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-7765
CHELSIE MCSORLEY NP
Nurse Practitioner
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-0670

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 Suzanne Smith's NPI number?

The NPI number for Suzanne Smith is 1932187952. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Suzanne Smith located?

Suzanne Smith practices at 2200 Randallia Dr, Fort Wayne, IN 46805. The listed phone number is (260) 373-4000.

What is Suzanne Smith's specialty?

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

Is Suzanne Smith enrolled in Medicare?

Yes. Suzanne Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Suzanne Smith was last updated on June 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.