Active NPI
Emily Claussen Elko, PA-C
- Medical Physician Assistant
- Fort Wayne, IN
National Provider Identifier
1881984581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10001322A
- Practice address
- 11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701 - Phone
- (260) 482-4440
- NPI assigned
- Apr 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.003267 | OH | |
| Medical Physician Assistant | 363AM0700X | 10001322A | IN | Primary |
Addresses
Primary practice location
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Mailing address
608 Union Chapel Rd
Fort Wayne, IN 46845-9357
Phone (260) 482-4440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35-1783322 | Other | IN | SAGAMORE |
| 351783322 | Other | IN | PHP |
| 000000739175 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
512 N Professional Way
Kendallville, IN 46755-2927
Phone (260) 347-8556
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.38 of 100
- Quality
- 87.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Pain Consultants, LLC | Current | Accepting new patients | |
| Parkview Health System Inc | Past | Accepting new patients | |
| Phoenix Emergency Physicians of the Midwest LLC | Past | Accepting new patients | |
| Emergency Physicians of Indiana PC | Physician Assistant | Past | Accepting new patients |
| Emergency Medicine of Indiana | Past | Accepting new patients |
Locations
608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440
Interoperability endpoints
- eelko7613@direct.parkviewexchange.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Interventional Pain Medicine Physician
- Fort Wayne, IN
- NPI 1164661054
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1952356883
-
- Emergency Medicine Physician
- Auburn, IN
- NPI 1003869454
Physician Assistant
-
- Emergency Medicine Physician
- Van Wert, OH
- NPI 1144556184
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1881984581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 UNION CHAPEL RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468459357",
"telephone_number": "260-482-4440",
"fax_number": "260-482-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701",
"telephone_number": "260-482-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKO",
"first_name": "EMILY",
"middle_name": "CLAUSSEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-14",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.003267",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IN",
"license": "10001322A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAGAMORE",
"identifier": "35-1783322",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "351783322",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000739175",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.