Andrea Marie Patterson, MD
Psychiatry & Neurology, Psychiatry in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1336768191
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1336768191
- Entity type
- Individual (NPI-1)
- Name
- Andrea Marie Patterson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2020
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 01086275A | IN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1720 Beacon StFort Wayne, IN 46805-4749
Phone 260-373-8000 · Fax 260-373-8034
Mailing address
11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Other practice locations
909 E State Blvd
Fort Wayne, IN 46805-3404
Fort Wayne, IN 46805-3404
Phone 260-481-2700 · Fax 260-481-2838
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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