Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Patrick Andrew Macknick, PA-C

Individual provider Physician Assistant · NPI 1861647000

Patrick Andrew Macknick, PA-C is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2008, 18 years ago. Practices with Cameron Memorial Community Hospital Inc, a 85-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
18
Licensed in
IN
In the registry since
2008
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

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone: (260) 482-5091
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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 10001054A (IN)

Record details

NPI number1861647000
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2008
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address608 Union Chapel Rd, Fort Wayne, IN 46845-9357

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Cameron Memorial Community Hospital Inc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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