Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326817222 Individual Practitioner Female Practitioner

Marissa Nicole Perkins , PA

Physician Assistant • Fort Wayne, IN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Marissa Perkins, PA is a registered healthcare professional specializing in Physician Assistant in Fort Wayne, IN. Official NPI practice address is registered at 7950 W JEFFERSON BLVD.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7950 W Jefferson Blvd

Fort Wayne, IN 468044160

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

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
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
89.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
21 21 $1349.90 $137.06
99284 Emergency department visit with moderate level of medical decision making
16 16 $934.25 $94.58

Medical Specialties & State Licenses

CMS Verified: 2025-08-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10004304A

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0071483 (OH)

Secondary Practice Locations

2101 Dubois Dr

Warsaw, IN 465803210

Phone: 5742673200

Po Box 6354004

Cincinnati, OH 452634160

Phone: 8889526772

702 Van Buren St

Fort Wayne, IN 468023697

Phone: 8566864341

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.)

Ethyn Dust

Physician Assistant

NPI 1073499620
Dr. Jyotshal Ghimire , DO

Internal Medicine

NPI 1083316814

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2025

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2024

Physician Assistant (License #10004304A in IN)

NPI Profile Active December 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2023

Registered at 7950 W JEFFERSON BLVD, FORT WAYNE, IN 468044160 (Tel: 2604357001)

📍
Updated Business Mailing Address December 20, 2023

Registered at 1010 COLUMBIA AVE, FORT WAYNE, IN 468054310 (Tel: 2603884366)

👤
Provider Name / Credentials Updated December 20, 2023

Recorded as MARISSA PERKINS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 20, 2023

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: 1326817222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2023
Last Update: August 21, 2025
Sole Proprietor: No

Mailing Address

1010 Columbia Ave

Fort Wayne, IN 468054310

Phone: 2603884366

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.