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

Austin Shepard

Individual provider Physician Assistant · NPI 1194595090

Austin Shepard is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2023, 3 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024
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Practice location Address checks out

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 435-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1194595090
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804-4159

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Fort Wayne