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

Shawn Kitzmiller

Individual provider Medical Physician Assistant · NPI 1306591177

Shawn Kitzmiller is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2022, 4 years ago. Practices with Orthopaedics Northeast PC, a 79-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone: (260) 484-8551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8202 Glencarin Blvd Ste 300, Fort Wayne, IN 46804-5783 — (260) 484-8551
  • 11136 Parkview Circle Dr, Fort Wayne, IN 46845-1730 — (260) 484-8551

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1306591177
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2022
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Orthopaedics Northeast Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Fort Wayne