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

Sean Robert Horner, PAC

Individual provider Physician Assistant · NPI 1033622709

Sean Robert Horner, PAC is a Physician Assistant in South Bend, Indiana. Qualified in 2017, 9 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2102 E Inwood Rd
South Bend, IN 46614-2443
Phone: (574) 299-2411
Fax: (574) 299-2410
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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 10002373A (IN)

Record details

NPI number1033622709
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 15, 2017
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address51268 Gilroy Ct, Granger, IN 46530-4728

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 The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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