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

Individual provider Physician Assistant · NPI 1396585147

Sadie Nicholson, PA-C is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2024, 2 years ago. Practices with Fort Wayne Orthopaedics, LLC, a 65-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
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

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone: (260) 436-8686
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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 10004979A (IN)

Record details

NPI number1396585147
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fort Wayne Orthopaedics, Llc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne