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

Jason P Knisely, PA

Individual provider Physician Assistant · NPI 1205828001

Jason P Knisely, PA is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2000, 26 years ago. Practices with Orthopaedics Northeast PC, a 79-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
26
Licensed in
IN
In the registry since
2005
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

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 484-9603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 7920 W Jefferson Blvd, Fort Wayne, IN 46804-4168 — (260) 484-8551
  • 11136 Parkview Circle Dr, Fort Wayne, IN 46845-1730 — (260) 484-8551
  • 1500 Provident Dr Ste B, Warsaw, IN 46580-3297 — (574) 269-8301

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000501A (IN)

Record details

NPI number1205828001
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 17, 2005
Last updated in NPPESOctober 30, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Orthopaedics Northeast Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Wayne