Individual provider Active NPI

Mary Kathleen Warner

  • Physician Assistant
  • Fort Wayne, IN
National Provider Identifier
1508675166
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone
(219) 241-3928
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 Primary

Addresses

Primary practice location

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Mailing address

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (219) 241-3928

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
I20250630000632 IN Practitioner - Physician Assistant 2365955739 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 May 28, 2025 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 Physician Assistant CurrentSince May 28, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Physician Assistant 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

820 Smaltz Way
Auburn, IN 46706
Phone (260) 909-6430

303 S Main St
Ste 404A
Bluffton, IN 46714

7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254

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

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

1824 Dorchester Ct
Ste A
Goshen, IN 46526
Phone (574) 534-2548

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: mary.warner.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 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": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1508675166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044133",
            "telephone_number": "219-241-3928"
        },
        {
            "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": "219-241-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "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.