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

Melanie L Pequignot, PA

Individual provider Physician Assistant · NPI 1093037798

Melanie L Pequignot, PA is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2009, 17 years ago. Practices with Radiation Oncology Associates P C, a 9-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
17
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

7910 W Jefferson Blvd Ste 110
Fort Wayne, IN 46804-4159
Phone: (260) 436-4116
Fax: (260) 436-1878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001156 (IN)

Record details

NPI number1093037798
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 22, 2010
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Radiation Oncology Associates P C — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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