Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Jenifer Kay Fortney, PA-C

Individual provider Medical Physician Assistant · NPI 1073963351

Miss. Jenifer Kay Fortney, PA-C is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2016, 10 years ago. Practices with Three Rivers Dermatology, LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5650 Coventry Ln
Fort Wayne, IN 46804-7140
Phone: (217) 508-8478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 — (260) 435-7001

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10002104A (IN)

Record details

NPI number1073963351
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2016
Last updated in NPPESDecember 11, 2019
Certification dateDecember 11, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Three Rivers Dermatology, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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