Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073499620 Individual Practitioner Male Practitioner

Ethyn Dust

Physician Assistant • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ethyn Dust is a certified Physician Assistant practicing in Fort Wayne, IN. With approximately 1 years of clinical experience since completing medical education in 2025, Ethyn Dust delivers high-quality medical care to the local community at 7950 W JEFFERSON BLVD.

Ethyn Dust is affiliated with Emergency Professionals Of Indiana Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

7950 W Jefferson Blvd

Fort Wayne, IN 468044140

Telephone 2604357001
Associated Practice Facility / Clinic
🏢 Iom Health System Lp Facility NPI 1306897335

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Wayne, IN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
315 Specialists

Practicing in Fort Wayne, IN (2429 Statewide)

Telehealth Adoption Rate
7.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dust (1 Years) 1 Yrs
Fort Wayne Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Emergency Professionals Of Indiana Pc

2520 E Dupont Rd, Fort Wayne, IN 468251675

Phone: 2604163000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Anuradha Bommakanti , MD

Internal Medicine - Pulmonary Disease

NPI 1003265455

Doctor of Medicine (M.D.)

Dr. Vaneska Bottino Da Costa , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1003292525

Doctor of Medicine (M.D.)

Jacqueline Shepard

Physician Assistant

NPI 1003686908
Dr. Bruce Sowers , MD

Emergency Medicine

NPI 1053411413

Doctor of Medicine (M.D.)

Dr. Jyotshal Ghimire , DO

Internal Medicine

NPI 1083316814

Doctor of Osteopathic Medicine (D.O.)

Dr. Paul Bauer , MD

Surgery - Trauma Surgery

NPI 1083697874

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 11, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2025

Registered at 7950 W JEFFERSON BLVD, FORT WAYNE, IN 468044140 (Tel: 2604357001)

📍
Updated Business Mailing Address August 11, 2025

Registered at 7705 TIPPERARY TRL, FORT WAYNE, IN 468158137 (Tel: 2176908385)

👤
Provider Name / Credentials Updated August 11, 2025

Recorded as ETHYN DUST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 11, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073499620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2025
Last Update: August 11, 2025
Sole Proprietor: No

Mailing Address

7705 Tipperary Trl

Fort Wayne, IN 468158137

Phone: 2176908385

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.