LEEANNA KNIGHT – Physician Assistant, NPI 1770195034

LEEANNA KNIGHT is a healthcare provider. based in Fort wayne, Indiana. specializing in PHYSICIAN ASSISTANT. They hold a License No. 10004029A (IN). The NPI Number for LEEANNA KNIGHT is 1770195034

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LEEANNA KNIGHT
NPI
1770195034
Phone
(812) 241-1636
Address
2512 ABBEY DR APT 7
Enumeration Date
18 August 2020
Last Update Date
13 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033384085
Graduation Year
2021 (5 years ago)
PAC ID
0941697965
Group Practice PAC ID
5294643359
Professional Enrollment ID
I20250807002859
Address ID
OR971030000AS1905XSTXX300

Contacts

Other Endpoint
NA
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for LEEANNA KNIGHT

  • 2512 ABBEY DR APT 7

    FORT WAYNE, IN 468353121

    Phone: (812) 241-1636

    Type: Mailing

  • 1819 CAREW ST

    FORT WAYNE, IN 468054705

    Phone: (260) 665-4100

    Type: Location

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

  • 750 N BROADWAY

    PERU, IN 469701027

    Phone: (260) 569-2120

    Fax: (260) 569-2121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: ABBVIE INC. ($36).

Total Amount

$137

General + Research + Ownership

Payments

7

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-07

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
I20250807002859IPhysician AssistantORTBD

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
81003Automated urinalysis test1312$0
View full utilization report →

Insurance plans in this area (ZIP 46835)

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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: 5294643359View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Orthopedic SurgeryIA
Pulmonary DiseaseOR
-OR
Nurse PractitionerOR
Certified Registered Nurse Anesthetist (Crna)MO
Emergency MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Diagnostic RadiologyME
-CO

Reviews

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Frequently asked questions

How do payers reference LEEANNA KNIGHT?
For LEEANNA KNIGHT, use NPI 1770195034 as the unique 10-digit identifier.
Would LEEANNA KNIGHT appear as active to a payer?
You can treat LEEANNA KNIGHT as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with LEEANNA KNIGHT?
LEEANNA KNIGHT's record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is LEEANNA KNIGHT located near Fort Wayne?
LEEANNA KNIGHT currently maps to Fort Wayne, Indiana in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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