Alyssa L. Detommaso, PA-C
Physician Assistant · Fort Wayne, IN
Alyssa L. Detommaso, PA-C is a physician assistant with a practice address in Fort Wayne, Indiana, and NPI 1801339791, issued on Nov 23, 2016. Check the license (Indiana 10002198A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Alyssa L. Detommaso
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 10002198A IN
Self-reported in NPPES; status is on the state search - Practice location
- 2516 E Dupont RD, Fort Wayne, IN 46825
- Phone
- (260) 458-3050
- Enumerated
- Nov 23, 2016
- Record last updated
- Oct 13, 2025
- Fax
- (260) 479-4621
- Medicare enrollment
- Enrolled (PECOS I20170321000150); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 2516 E Dupont RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Gabrielle Acquaro, M.D.Family Medicine Physician1649625104
- Tiffany Bauman, STSpeech-Language Pathologist1871738930
- Lucas Berghoff, D.O.Sports Medicine (Family Medicine) Physician1821521394
- Julea Diffenderfer, RD, CDERegistered Dietitian1679934707
- Francis Esguerra, MDObstetrics & Gynecology Physician1790949477
- Dana Forrest, MDFamily Medicine Physician1902831167
Verify Alyssa L. Detommaso in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 10002198ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Lutheran Medical Group LLCFort Wayne, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
313 physician assistant records list a practice address in Fort Wayne
They are 313 of the 9,203 NPPES records with a practice address in Fort Wayne, and 2,419 physician assistant records in Indiana.
All 313 in Fort Wayne → All 2,419 in Indiana → Every provider in Fort Wayne →
Other physician assistant records in Indiana
- Mary Abbas, PA-CIndianapolis, IN1174088033
- Alexandra Abbey, PA-CIndianapolis, IN1124820113
- Mackenzie Accorsi, PA-CLa Porte, IN1346707841
- Anna Ackermann, PA-CIndianapolis, IN1972237170
- Nathaniel Acree, PA-CWest Lafayette, IN1013453927
- Jeremy Adamowicz, PAIndianapolis, IN1790131357
- Alysen AdamsNew Albany, IN1861961062
- Anne Adams, PA-CJeffersonvlle, IN1962005231
- Emily Adams, PACGreencastle, IN1710060033
- Laurel Adams, PA-CBloomington, IN1881781318
Common questions
What is Alyssa L. Detommaso, PA-C's NPI number?
Alyssa L. Detommaso, PA-C's National Provider Identifier (NPI) is 1801339791, issued on Nov 23, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Alyssa L. Detommaso, PA-C located?
The NPPES record lists a practice address at 2516 E Dupont RD, Fort Wayne, IN, 46825. Phone: (260) 458-3050. Providers update this record themselves, so call before visiting.
How can I verify Alyssa L. Detommaso, PA-C's license?
NPPES lists Indiana license number 10002198A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.