Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Caroline Mackenzie Fugate, PA-C

Individual provider Physician Assistant · NPI 1356066112

Caroline Mackenzie Fugate, PA-C is a Physician Assistant in Indianapolis, Indiana. Graduated from Wake Forest University School of Medicine in 2022, 4 years ago. Works from 2 locations. Licensed in Indiana and Texas.

Years since qualifying
4
Trained at
Wake Forest University School of Medicine
Licensed in
IN, TX
In the registry since
2022
Specialties on file
2
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

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 274-4491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6701 Fannin St Ste 1210, Houston, TX 77030-2612 — (832) 824-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10005338A (IN)
Physician Assistant Taxonomy 363A00000X · Licence PA15955 (TX)

Record details

NPI number1356066112
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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