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

Charles Lee Copeland, PA-C

Individual provider Physician Assistant · NPI 1336460161

Charles Lee Copeland, PA-C is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2010, 16 years ago. Practices with Medstat LLC, an 8-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Licensed in
IN
In the registry since
2010
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

7900 W Jefferson Blvd Ste 304
Fort Wayne, IN 46804-4128
Phone: (260) 969-6200
Fax: (260) 969-6201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 — (260) 435-2699
  • Po Box 635004, Cincinnati, OH 45263-5004 — (888) 952-6772

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IN)

Record details

NPI number1336460161
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2010
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Medstat Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Wayne