NPPES file of Aug 9, 2026

Travis Samples, PA-C

Medical Physician Assistant · Fort Wayne, IN

Travis Samples, PA-C is a medical physician assistant with a practice address in Fort Wayne, Indiana, and NPI 1770393415, issued on Jan 13, 2025. Check the license (Indiana 10004770A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1770393415
Name
Travis Samples
Credential
PA-C
Primary taxonomy
Medical Physician Assistant 363AM0700X
License number
10004770A IN
Self-reported in NPPES; status is on the state search
Practice location
11109 Parkview Plaza Dr, Fort Wayne, IN 46845
Phone
(260) 482-5091
Enumerated
Jan 13, 2025
Record last updated
Mar 27, 2026
Medicare enrollment
Enrolled (PECOS I20260311003565); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 11109 Parkview Plaza Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Danyelle Aber, M.D.Emergency Medicine Physician1003254236
  2. Anamol Acharya, MDInternal Medicine Physician1629681499
  3. Steven Adams, MDAnatomic Pathology & Clinical Pathology Physician1194302398
  4. Abid AhmadInternal Medicine Physician1740800184
  5. Hasan Ahmad, DO, MBAInternal Medicine Physician1053739995
  6. Abrar Ahmed, MDEmergency Medicine Physician1174151377

Verify Travis Samples in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Indiana board licenses this profession
    Search for license 10004770A
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Indiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through 2 group practices

  1. Parkview Health System IncKendallville, IN
  2. Professional Emergency Physicians PCBryan, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Travis Samples among 405 medical physician assistant records in Indiana

Travis Samples, PA-C is one of 405 medical physician assistant records with a practice address in Indiana. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 94% of them.

  • NPI issued2025 · 94% of these records are older, 2% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2024 · median 2017 among the 268 with a school on file
  • Record last updated2026 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Medical Physician Assistant providers in Indiana

There are 405 medical physician assistant records in Indiana.

The 8 medical physician assistant records with the nearest ZIP codes

  1. Joann Beecher, PA-CFort Wayne, IN 468451215922620
  2. Jonathan Byers, PA-CFort Wayne, IN 468451902891906
  3. Jamie Chaffee, PA-CFort Wayne, IN 468451043648868
  4. Emily Elko, PA-CFort Wayne, IN 468451881984581
  5. John Hoskins, PAFort Wayne, IN 468451114943073
  6. Media Jaboori, PA-CFort Wayne, IN 468451730175506
  7. Emily Lierman, P.A.Fort Wayne, IN 468451407010564
  8. Keith Lowe, PA-CFort Wayne, IN 468451730581067

Common questions

What is Travis Samples, PA-C's NPI number?

Travis Samples, PA-C's National Provider Identifier (NPI) is 1770393415, issued on Jan 13, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Travis Samples, PA-C located?

The NPPES record lists a practice address at 11109 Parkview Plaza Dr, Fort Wayne, IN, 46845. Phone: (260) 482-5091. Providers update this record themselves, so call before visiting.

How can I verify Travis Samples, PA-C's license?

NPPES lists Indiana license number 10004770A, 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.