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Avery Rheann Rolsten , PA-C

Physician Assistant β€’ Fort Wayne, IN

Active NPI 1174404578 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

7950 W Jefferson Blvd
Fort Wayne, IN 468044140

Call 2604357001 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7950 W Jefferson Blvd

Fort Wayne, IN 468044140

Telephone 2604357001
Organization at the Same NPPES Address or Phone
Iom Health System Lp Facility NPI 1306897335

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Decatur, IN; Fort Wayne, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Emergency Professionals Of Indiana Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Avery Rolsten has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Avery Rolsten as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fort Wayne and Indiana

313 active clinicians are listed under Physician Assistant with a practice address in Fort Wayne, IN (2,419 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Wayne

7% of these 313 clinicians have the CMS telehealth indicator.

66.5% of these 313 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IN 10005071A

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

License # reported to NPPES IN PENDING

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20251119001332

Enrollment State Jurisdiction

IN

PECOS Control ID

0840781688

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Emergency Professionals Of Indiana Pc

7950 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604352699

Secondary Practice Locations

2520 E Dupont Rd

Fort Wayne, IN 468251675

Phone: 2604163000

702 Van Buren St

Fort Wayne, IN 468023697

Phone: 2604253000

1401 N 13th St Ste 200

Decatur, IN 467333139

Phone: 2607242145

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

32 listed
Dr. Giasuddin Ahmed , MD

Emergency Medicine

NPI 1760407001

Doctor of Medicine (M.D.)

Dr. Paul Bauer , MD

Surgery - Trauma Surgery

NPI 1083697874

Doctor of Medicine (M.D.)

Dr. Anuradha Bommakanti , MD

Internal Medicine - Pulmonary Disease

NPI 1003265455

Doctor of Medicine (M.D.)

Ema Brown , FNP-C

Nurse Practitioner

NPI 1558114157

Family Nurse Practitioner (Certified)

Dr. Steven Buchowski , DO

Emergency Medicine

NPI 1790420339

Doctor of Osteopathic Medicine (D.O.)

Daniel Butler

Physician Assistant - Medical

NPI 1144090507

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2025

Physician Assistant (license number reported to NPPES: IN 10005071A)

βœ…
NPI Profile Active September 11, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 11, 2025

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

πŸ“
Business Mailing Address (Initial Record) September 11, 2025

Registered at 10184 DULL ROBINSON RD, VAN WERT, OH 458918948 (Tel: 8003422898)

πŸ‘€
Provider Name / Credentials (Initial Record) September 11, 2025

Recorded as AVERY ROLSTEN, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Emergency Medicine (license number reported to NPPES: IN PENDING)

🟒
Initial NPI Registration & Enumeration September 11, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174404578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2025
Last Update: July 22, 2026
Sole Proprietor: No

Other Physician Assistants in Fort Wayne

All Physician Assistants in Fort Wayne

Mailing Address

10184 Dull Robinson Rd

Van Wert, OH 458918948

Phone: 8003422898

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.