Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497375356 Individual Practitioner Female Practitioner

Stacey M. Krick , PA

Physician Assistant • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Stacey Krick, PA is a registered healthcare professional specializing in Physician Assistant in Fort Wayne, IN. Practice services are available at 7333 W JEFFERSON BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19), new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7333 W Jefferson Blvd

Fort Wayne, IN 468046280

Telephone 2604583830
Fax 2604583831
Associated Practice Facility / Clinic
🏢 Qhg Of Fort Wayne Company Llc Facility NPI 1619918026

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
64.3% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
39 38 $181.00 $72.42
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
22 22 $130.00 $39.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $228.00 $81.08

Medical Specialties & State Licenses

CMS Verified: 2020-04-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10002854A

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.

Practice Associates & Co-Workers

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

15 Associated Practitioners
NPI 1033152442

Doctor of Medicine (M.D.)

Danielle Pacella , PA-C

Physician Assistant

NPI 1033823166

Physician Assistant (Certified)

Melissa Parnin , APRN

Nurse Practitioner - Family

NPI 1134730427

Advanced Practice Registered Nurse

Autumne Berghoff , PA-C

Physician Assistant

NPI 1144041039

Physician Assistant (Certified)

Megan Keating , PA

Physician Assistant

NPI 1174384143

Physician Assistant

Kathryn Gilreath , NP

Nurse Practitioner - Adult Health

NPI 1447368899

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2020

Registered at 7333 W JEFFERSON BLVD, FORT WAYNE, IN 468046280 (Tel: 2604583830)

📍
Updated Business Mailing Address April 21, 2020

Registered at 6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 468047934 (Tel: 2604793516)

👤
Provider Name / Credentials Updated April 21, 2020

Recorded as STACEY KRICK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2020

Physician Assistant (License #10002854A in IN)

🟢
Initial NPI Registration & Enumeration April 21, 2020

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: 1497375356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2020
Last Update: April 21, 2020
Sole Proprietor: No

Mailing Address

6920 Pointe Inverness Way Ste 200

Fort Wayne, IN 468047934

Phone: 2604793516

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.