Kelly Karr
NPI 1124792528 · Physician Assistant · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124792528
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- 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
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 11136 Parkview Circle DrFort Wayne, IN 46845-1730Phone: (260) 484-8551
- 7920 W Jefferson BlvdFort Wayne, IN 46804-4168Phone: (260) 484-8551
- 1500 Provident Dr Ste BWarsaw, IN 46580-3297Phone: (574) 269-8301
Registry dates
- Enumerated
- 2021-08-09
- Last updated
- 2021-08-09
- Certified
- 2021-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.