Individual provider Active NPI

Ethan Robert Jones, PA-C

  • Medical Physician Assistant
  • Fort Wayne, IN
National Provider Identifier
1205659059
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone
(260) 436-8686
NPI assigned
Oct 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Mailing address

335 Long Bow CT
Valparaiso, IN 46383-8308
Phone (219) 286-0054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115001653 IN Practitioner - Physician Assistant 1254869480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians
Fort Wayne Orthopaedics, LLCGroup PAC ID 7618965286, 65 clinicians

Practice addresses (Care Compare)

10106 Dupont Circle Dr E
Suite 150
Fort Wayne, IN 46825-1640
Phone (800) 566-5659

4900 Beaner Blvd
Gas City, IN 46933-9788
Phone (800) 566-5659

701 Orthopaedic Dr
Warsaw, IN 46582-3904
Phone (800) 566-5659

701 Orthopaedic Dr
Suite 100
Warsaw, IN 46582-3905
Phone (260) 436-8686

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (800) 566-5659

7619 W Jefferson Blvd
Fort Wayne, IN 46804-4133

7631 W Jefferson Blvd
The Imaging Center
Fort Wayne, IN 46804-4133
Phone (260) 436-7770

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Wayne Orthopaedics LLC CurrentSince Dec 16, 2024 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 19, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 19, 2025 Accepting new patients
Fort Wayne Orthopaedics, LLC CurrentSince Dec 16, 2024 Accepting new patients
Orthopaedics-Indianapolis, Inc Past Accepting new patients

Locations

306 E Maumee St
Ste 301
Angola, IN 46703
Phone (260) 665-1670

820 Smaltz Way
Ste B
Auburn, IN 46706
Phone (260) 432-1800

10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825

7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254

4900 Beaner Blvd
Gas City, IN 46933
Phone (765) 573-0725

8450 Northwest Blvd
Indianapolis, IN 46278

605 N Walnut St
North Manchester, IN 46962
Phone (219) 982-1994

1430 E 9th St
Rochester, IN 46975
Phone (574) 223-9393

701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582

701 Orthopaedic Dr
Ste 100
Warsaw, IN 46582

701 Orthopaedic Dr
Warsaw, IN 46582
Phone (260) 435-6722

Interoperability endpoints

  • Direct secure messaging: ethan.jones.p1@direct.fwortho.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1205659059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 LONG BOW CT",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838308",
            "telephone_number": "219-286-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044133",
            "telephone_number": "260-436-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ETHAN",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.