MR. MARK A FISHER (PA-C) – Medical Physician Assistant, NPI 1144215153
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. MARK A FISHER (PA-C)
1721, Magnavox Way, Times Corner, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468041537
Phone: (260) 748-3650
Fax: (360) 748-3651
Type: Location
6811 Lima Rd
Fort Wayne, IN 468181145
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
2124 N Biomet Dr
Warsaw, IN 465827858
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
1314 E 7th St Ste 201
Auburn, IN 467062533
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
2512 E DuPont Rd Ste 200
Fort Wayne, IN 46825
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
PO BOX 670
HUNTERTOWN, IN 467480670
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($116).
Total Amount
$116
General + Research + Ownership
Payments
1
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $116 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-08-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110831000085 | I | Physician Assistant | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN |
Reviews
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