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

Katherine Wagner

Individual provider Physician Assistant · NPI 1639038789

Katherine Wagner is a Physician Assistant in Fort Wayne, Indiana. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Phone: (844) 874-6378
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1639038789
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

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