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

Kristen N Azzue

Individual provider Physician Assistant · NPI 1043175250

Kristen N Azzue is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2025, 1 year ago. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025

Practice location Address checks out

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone: (260) 266-5400
Fax: (260) 425-5715
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10005238A (IN)

Record details

NPI number1043175250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 19, 2025
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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