Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861647000 Individual Practitioner Male Practitioner

Patrick Andrew Macknick , PA-C

Physician Assistant • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Patrick Macknick, PA-C is a certified Physician Assistant practicing in Fort Wayne, IN. With approximately 18 years of clinical experience since completing medical education in 2008, Patrick Macknick delivers high-quality medical care to the local community at 11109 PARKVIEW PLAZA DR.

Patrick Macknick is affiliated with Cameron Memorial Community Hospital Inc and accepts Medicare assignment.

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, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11109 Parkview Plaza Dr

Fort Wayne, IN 468451701

Telephone 2604825091
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Wayne, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +7.6 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
90.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Macknick (18 Years) 18 Yrs
Fort Wayne Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
66 65 $1502.91 $135.55
99284 Emergency department visit with moderate level of medical decision making
42 41 $1020.43 $96.39
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
31 30 $71.06 $6.08

Medical Specialties & State Licenses

CMS Verified: 2026-03-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10001054A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem
000000614685 (IN)
Commercial Insurance / Payer ID Medicare Rr
P00755205 (IN)

Hospital & Practice Group Affiliations

Cameron Memorial Community Hospital Inc

1381 N Wayne St, Angola, IN 467032348

Phone: 2606658222

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Richard Capone , DO

Emergency Medicine

NPI 1215678727

Doctor of Osteopathic Medicine (D.O.)

Dr. Sheila Pittenger , MD

Emergency Medicine

NPI 1235459603

Doctor of Medicine (M.D.)

Mary Kuyvenhoven

Emergency Medicine

NPI 1568098564
Dr. Seth Baker , MD

Emergency Medicine

NPI 1598333999

Doctor of Medicine (M.D.)

Amber Whitton , PA

Physician Assistant

NPI 1730374968

Physician Assistant

Travis Samples , PA-C

Physician Assistant - Medical

NPI 1770393415

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 30, 2026

Registered at 11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 468451701 (Tel: 2604825091)

📍
Updated Business Mailing Address March 30, 2026

Registered at 608 UNION CHAPEL RD, FORT WAYNE, IN 468459357 (Tel: 2604825091)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2026

Physician Assistant (License #10001054A in IN)

NPI Profile Active November 20, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2009

Registered at 1818 CAREW ST, SUITE 250, FORT WAYNE, IN 468054788 (Tel: 2604836448)

📍
Updated Business Mailing Address November 20, 2009

Registered at 1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 468251545 (Tel: 2603739965)

👤
Provider Name / Credentials Updated November 20, 2009

Recorded as PATRICK MACKNICK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2009

Physician Assistant (License #PENDING in IN)

🟢
Initial NPI Registration & Enumeration December 01, 2008

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: 1861647000
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2008
Last Update: March 30, 2026
Sole Proprietor: No

Mailing Address

608 Union Chapel Rd

Fort Wayne, IN 468459357

Phone: 2604825091

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.