CINDY M FORDYCE (PA) – Physician Assistant, NPI 1194717173

CINDY M FORDYCE (PA) is a healthcare provider. based in Fort wayne, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 10000277A (IN). The NPI Number for CINDY M FORDYCE (PA) is 1194717173

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
CINDY M FORDYCE (PA)
NPI
1194717173
Phone
(260) 484-8551
Address
5052 N CLINTON ST
Enumeration Date
17 August 2005
Last Update Date
23 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
6103959218
Group Practice PAC ID
9234024878
Professional Enrollment ID
I20100727000002
Address ID
IN468255822FO5052XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

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Provider Addresses for CINDY M FORDYCE (PA)

  • 5052, North Clinton Street, Fort Wayne, Allen County, Indiana, 46825, United States

    FORT WAYNE, IN 468255822

    Phone: (260) 484-8551

    Fax: (260) 482-5060

    Type: Mailing

  • 5050, North Clinton Street, Fort Wayne, Allen County, Indiana, 46825, United States

    FORT WAYNE, IN 468255886

    Phone: (260) 484-8551

    Fax: (260) 482-5060

    Type: Location

  • 1500 Provident Dr Ste B

    Warsaw, IN 465803297

    Phone: (574) 269-8301

    Fax: (574) 269-8302

    Type: Location

  • 11136 Parkview Circle Dr

    Fort Wayne, IN 468451730

    Phone: (260) 484-8551

    Fax: (260) 482-5060

    Type: Location

  • 7920 W Jefferson Blvd

    Fort Wayne, IN 468044168

    Phone: (260) 484-8551

    Fax: (260) 482-5060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-07-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100727000002IPhysician AssistantINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg19249$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg8514$0
99213Established patient office or other outpatient visit, 20-29 minutes8068$0
20610Aspiration and/or injection of fluid from large joint3628$0
20605Aspiration and/or injection of fluid from medium joint3423$0
View full utilization report →

Insurance plans in this area (ZIP 46825)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234024878View full group profile
NameSpecialtyState
Orthopedic SurgeryIN
Nurse PractitionerIN
-IN
Orthopedic SurgeryIN
Family Practice, Orthopedic Surgery, Sports MedicineIN
Physician AssistantIN
Sports Medicine, Orthopedic SurgeryIN
Physician AssistantIN
Physician AssistantIN
-IN

Reviews

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Frequently asked questions

What NPI should I save for CINDY M FORDYCE (PA)?
Save NPI 1194717173 if you need a stable reference for CINDY M FORDYCE (PA).
Is CINDY M FORDYCE (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CINDY M FORDYCE (PA) work in?
You can think of CINDY M FORDYCE (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place CINDY M FORDYCE (PA)?
The snapshot lists Fort Wayne, Indiana for CINDY M FORDYCE (PA); download NPPES for the complete set.
What if Fort Wayne, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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