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

Individual provider Physician Assistant · NPI 1992211668

Nicholas Martin Lesch, PHYSICIANASSISTANT is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2017, 9 years ago. Practices with Credo Health Group LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
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Practice location Address checks out

10050 Auburn Park Dr
Fort Wayne, IN 46825-2389
Phone: (260) 432-6459
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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 10002394A (IN)

Record details

NPI number1992211668
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 18, 2017
Last updated in NPPESDecember 18, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Credo Health Group Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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