Kiersten Rene Carrico, PA-C
NPI 1508203597ActiveIndividual· Physician Assistant· Fort Wayne, IN
Physician Assistant (PA-C) in Fort Wayne, Indiana, licensed in IN, with an NPI issued in May 2013. 71 Medicare patients in 2024, $8,875 paid; nearly all of their 185 Part D prescriptions were generic (98%).
Overview
| NPI | 1508203597 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 30, 2013 |
| Last updated in NPPES | Dec 19, 2024 |
| Certified by provider | Dec 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1001557A | 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 (FL); Practitioner - Physician Assistant (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 78 across 10 procedure codes |
| Paid by Medicare | $8,875 |
Part D prescriptions in 2024
| Prescriptions (claims) | 185 · 185 30-day fills |
|---|---|
| Patients | 104 |
| Total drug cost | $2,947 |
| Generic share | 98% of claims |
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