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

Dustin T Simcoe

Individual provider Physician Assistant · NPI 1295108942

Dustin T Simcoe is a Physician Assistant in LA Porte, Indiana. Qualified in 2015, 11 years ago. Practices with La Porte Clinic Company LLC, a 66-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

401 Newporte Blvd
LA Porte, IN 46350-4099
Phone: (219) 575-6244
Fax: (219) 380-0757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 51 Mapleview Rd, Wallingford, CT 06492 — (765) 620-2764
  • 650 Dickinson Rd, Chesterton, IN 46304-3387 — (219) 926-7755
  • 3630 Willowcreek Rd, Portage, IN 46368-5075 — (219) 364-3900
  • 809 Laporte Ave Ste B, Valparaiso, IN 46383-5801 — (219) 263-4977

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001987A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1295108942
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 3, 2015
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing address2022 Kelle Dr, Chesterton, IN 46304-8708

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice La Porte Clinic Company Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in LA Porte