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

Lisa M Clemens, PA

Individual provider Physician Assistant · NPI 1215244421

Lisa M Clemens, PA is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2010, 16 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Licensed in
IN
In the registry since
2010
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

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone: (260) 373-4000
Fax: (260) 482-4442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3909 New Vision Dr, Fort Wayne, IN 46845-1725 — (260) 469-6610

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001224A (IN)

Record details

NPI number1215244421
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 9, 2010
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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