Ethyn Dust
NPI 1073499620 · Physician Assistant · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethyn Dust is a Physician Assistant provider in Fort Wayne, IN (NPI 1073499620).
Provider details
- NPI number
- 1073499620
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-08-11
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Frequently asked questions
- What is Ethyn Dust's NPI number?
- Ethyn Dust's National Provider Identifier (NPI) is 1073499620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethyn Dust's specialty?
- Ethyn Dust is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ethyn Dust located?
- Ethyn Dust's practice location on file with NPPES is 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140.
- What is Ethyn Dust's phone number?
- The practice phone number listed in the NPPES registry for Ethyn Dust is (260) 435-7001.
- Does Ethyn Dust accept Medicare?
- Ethyn Dust is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethyn Dust's NPI active?
- Yes — Ethyn Dust's NPI (1073499620) is active in the NPPES registry as of the last update on 2025-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.