Individual provider Active NPI

Catherine Maringer, PA

  • Physician Assistant
  • Fort Wayne, IN
National Provider Identifier
1407519762
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003474A Issued in IN
Practice address
722 E Till Rd Ste 102
Fort Wayne, IN 46825-2066
Phone
(260) 487-4065
Fax
(260) 918-8369
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003474A IN Primary

Addresses

Primary practice location

722 E Till Rd Ste 102
Fort Wayne, IN 46825-2066

Mailing address

722 E Till Rd Ste 102
Fort Wayne, IN 46825-2066
Phone (260) 487-4065

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
I20211222001651 IN Practitioner - Physician Assistant 0042601205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics Northeast PCGroup PAC ID 9234024878, 80 clinicians
Radiant Dermatology Associates LLCGroup PAC ID 8123484375, 2 clinicians

Practice addresses (Care Compare)

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone (260) 484-8551

722 E Till Rd
Fort Wayne, IN 46825-2066
Phone (260) 487-4065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
85.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10003474AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Northeast PC CurrentSince Dec 13, 2021 Accepting new patients
Orthopaedics Northeast PC CurrentSince Dec 13, 2021 Accepting new patients

Locations

11136 Parkview Circle Dr
Fort Wayne, IN 46845

8202 Glencarin Blvd
Ste 300
Fort Wayne, IN 46804
Phone (260) 484-1855

5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551

5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203

1500 Provident Dr
Ste B
Warsaw, IN 46580
Phone (574) 269-8301

Organizations & group practices 3

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 2

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1407519762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 E TILL RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252066",
            "telephone_number": "260-487-4065",
            "fax_number": "260-918-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 E TILL RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252066",
            "telephone_number": "260-487-4065",
            "fax_number": "260-918-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINGER",
        "first_name": "CATHERINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003474A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.