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

Tyson Agnew, PA

Individual provider Physician Assistant · NPI 1801614524

Tyson Agnew, PA is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2024, 2 years ago. Practices with Orthopaedics Northeast PC, a 79-clinician group, works from 4 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 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
  • 1500 Provident Dr Ste B, Warsaw, IN 46580-3297 — (574) 269-8301

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1801614524
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 1, 2024
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address5052 N Clinton St, Fort Wayne, IN 46825-5822

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 Orthopaedics Northeast Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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