Individual provider Active NPI

Connor Charles Haxton, PA

  • Physician Assistant
  • Fort Wayne, IN
National Provider Identifier
1760118442
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1717 S Calhoun St
Fort Wayne, IN 46802-5257
Phone
(260) 458-2641
NPI assigned
Jul 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

1717 S Calhoun St
Fort Wayne, IN 46802-5257

Mailing address

5407 Vance Ave
Fort Wayne, IN 46815-6154
Phone (260) 494-5403

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
I20230331000214 IN Practitioner - Physician Assistant 1850766064 Reassigns benefits to 2 organizations

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
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians
Fort Wayne Orthopaedics, LLCGroup PAC ID 7618965286, 65 clinicians

Practice addresses (Care Compare)

4900 Beaner Blvd
Gas City, IN 46933-9788
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

  • The Orthopaedic Hospital of Lutheran Health Networ Hospital, Ft Wayne, IN, CCN 150168
  • Marion General Hospital Hospital, Marion, IN, CCN 150011

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Promoting interoperability
81
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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 Mar 9, 2023 Accepting new patients
Fort Wayne Orthopaedics LLC Physician Assistant CurrentSince Mar 9, 2023 Accepting new patients
Orthopaedics-Indianapolis, Inc Physician Assistant Past Accepting new patients

Locations

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

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

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

303 S Main St
Ste 404A
Bluffton, IN 46714

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

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
Warsaw, IN 46582
Phone (260) 435-6722

701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582

Interoperability endpoints

  • Direct secure messaging: conner.haxton.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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1760118442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 VANCE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156154",
            "telephone_number": "260-494-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S CALHOUN ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468025257",
            "telephone_number": "260-458-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAXTON",
        "first_name": "CONNOR",
        "middle_name": "CHARLES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "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.