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

Abigail Jackson, PA

Individual provider Physician Assistant · NPI 1740173319

Abigail Jackson, PA is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2025, 1 year ago. Practices with Orthopaedics Northeast PC, a 79-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8202 Glencarin Blvd Ste 300, Fort Wayne, IN 46804-5783 — (260) 484-1855
  • 11136 Parkview Circle Dr, Fort Wayne, IN 46845-1730 — (260) 484-8551

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1740173319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address5052 N Clinton St, Fort Wayne, IN 46825-5822

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Orthopaedics Northeast Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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