Ethyn Dust
NPI 1073499620ActiveIndividual· Physician Assistant· Fort Wayne, IN
Physician Assistant with Emergency Professionals of Indiana PC, practicing in Fort Wayne, Indiana. Enrolled in Medicare as practitioner - physician assistant. Lists Dupont Hospital LLC and 1 other hospital as hospital affiliations.
Overview
| NPI | 1073499620 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 11, 2025 |
| Last updated in NPPES | Aug 13, 2026 |
| Certified by provider | Aug 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10005075A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IN) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Emergency Professionals of Indiana PCFort Wayne, IN · 119 clinicians
Hospital affiliations
- Dupont Hospital LLCFort Wayne, IN
- Lutheran Hospital of IndianaFort Wayne, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 327 physician assistants in Fort Wayne · All physician assistants in Indiana