Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

A. Michelle Ferguson, PA-C

Individual provider Physician Assistant · NPI 1750390902

A. Michelle Ferguson, PA-C is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2002, 24 years ago. Practices with Three Rivers Dermatology, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
24
Licensed in
IN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5650 Coventry Ln
Fort Wayne, IN 46804-7140
Phone: (260) 436-9696
Fax: (888) 370-2203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000621A (IN)

Record details

NPI number1750390902
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Three Rivers Dermatology, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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