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

Emily Mazanowski, PA

Individual provider Physician Assistant · NPI 1548661986

Emily Mazanowski, PA is a Physician Assistant in Fishers, Indiana. Qualified in 2014, 12 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2014
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

10412 Allisonville Rd Ste 100
Fishers, IN 46038-2030
Phone: (317) 572-2240
Fax: (317) 572-2235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7930 N Shadeland Ave, Indianapolis, IN 46250-2041 — (317) 621-6725

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001757A (IN)

Record details

NPI number1548661986
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 4, 2014
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Fishers