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

Mr. Karsten Eugene Cooper, PA-C

Individual provider Physician Assistant · NPI 1124698311

Mr. Karsten Eugene Cooper, PA-C is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2021, 5 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
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

7900 W Jefferson Blvd Ste 306
Fort Wayne, IN 46804-4128
Phone: (260) 458-3610
Fax: (260) 458-3611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 702 Van Buren St, Fort Wayne, IN 46802-3697 — (260) 425-3000
  • 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 — (260) 435-2699

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003356A (IN)

Record details

NPI number1124698311
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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