Individual provider Active NPI

Pierce Larke, PA

  • Physician Assistant
  • Fort Wayne, IN
National Provider Identifier
1407567647
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003928A Issued in IN
Practice address
2932 W Ludwig Rd
Fort Wayne, IN 46818-1328
Phone
(260) 755-1304
NPI assigned
Dec 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 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 10003928A IN Primary

Addresses

Primary practice location

2932 W Ludwig Rd
Fort Wayne, IN 46818-1328

Mailing address

2932 W Ludwig Rd
Fort Wayne, IN 46818-1328
Phone (260) 755-1304

Other practice location 1

1717 S Calhoun St
Fort Wayne, IN 46802-5257
Phone (260) 458-2641

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
I20230313000681 IN Practitioner - Physician Assistant 6709250814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Clinics IncGroup PAC ID 8022926294, 18 clinicians

Practice addresses (Care Compare)

1717 S Calhoun St
Fort Wayne, IN 46802-5257

1721 S Calhoun St
Neighborhood Health Clinics Inc
Fort Wayne, IN 46802-5257
Phone (260) 458-2641

750 Broadway
Suite 350
Fort Wayne, IN 46802-1412
Phone (260) 423-6621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10003928AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Clinics, Inc CurrentSince Feb 20, 2023 Accepting new patients
Neighborhood Health Clinics, Inc CurrentSince Feb 20, 2023 Accepting new patients
Everside Health Fort Wayne-W Ludwig Rd Past Accepting new patients

Locations

3350 E Paulding Rd
Fort Wayne, IN 46816
Phone (260) 423-2585

1717 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2641

3501 Warsaw St
Fort Wayne, IN 46806
Phone (260) 458-2570

1721 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2571

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1407567647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 W LUDWIG RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181328",
            "telephone_number": "260-755-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 W LUDWIG RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181328",
            "telephone_number": "260-755-1304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 S Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468025257",
            "country_code": "US",
            "telephone_number": "260-458-2641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARKE",
        "first_name": "PIERCE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-08",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003928A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.