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

Wendy M Fodstad, PA

Individual provider Physician Assistant · NPI 1376810820

Wendy M Fodstad, PA is a Physician Assistant in Indianapolis, Indiana. Qualified in 2011, 15 years ago. Practices with St Vincent Physician Services Hospital and Health Care Center, a 282-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
15
Licensed in
IN
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8402 Harcourt Rd Ste 420
Indianapolis, IN 46260-2053
Phone: (317) 415-6740
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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 10001301A (IN)

Record details

NPI number1376810820
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 29, 2011
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Vincent Physician Services Hospital And Health Care Center — 282 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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