MRS. CARISSA L ASHTARY YAZDI PA-C
NPI 1609224732
Physician Assistant in Fort Wayne, IN

NPI Status: Active since May 31, 2016

Contact Information

5050 N CLINTON ST
FORT WAYNE, IN
ZIP 46825
Phone: (260) 484-8551
Fax: (260) 482-5060

Get Directions Reviews

  • Individual
  • Female
  • Physician Assistant
  • Accepts Insurance
  • PECOS Enrolled

About CARISSA ASHTARY YAZDI

This page provides the complete NPI Profile along with additional information for Carissa Ashtary Yazdi, a primary care provider established in Fort Wayne, Indiana with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1609224732 assigned on May 2016. The practitioner's primary taxonomy code is 363A00000X with license number 10002381A (IN). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1609224732
Provider Name
MRS. CARISSA L ASHTARY YAZDI PA-C
Other Name
CARISSA L LIBBENGA PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
5050 N CLINTON ST FORT WAYNE, IN 46825
Location Phone
(260) 484-8551
Location Fax
(260) 482-5060
Mailing Address
5052 N CLINTON ST FORT WAYNE, IN 46825
Mailing Phone
(260) 484-8551
Mailing Fax
(260) 482-5060
Is Sole Proprietor?
No
Enumeration Date
05-31-2016
Last Update Date
11-08-2018
Code Navigator

A primary care provider (PCP) like Carissa Ashtary Yazdi sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 11136 Parkview Circle Dr
    Fort Wayne, IN 46845
    (260) 484-8551
  • 7920 W Jefferson Blvd
    Fort Wayne, IN 46804
    (260) 484-8551
  • 1500 Provident Dr Ste B
    Warsaw, IN 46580
    (574) 269-8301

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
10002381A
License State
IN
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 9200 (+ Incentives) - HMO
  • Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
  • Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
300009169MEDICAID (05)IN 

Medicare Participation & PECOS Enrollment Status

Carissa Ashtary Yazdi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 115 times for 74 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 37 times for 36 patients

Fusion of additional segment of spine with partial removal of spine bone and disc

This procedure involves merging an extra part of your spine with a partial removal of your spine bone and disc. It's done to provide stability, reduce pain, and correct deformities. It's like creating a natural bridge of bone that stabilizes the spine.

This service was performed 32 times for 22 patients

Fusion of spine in lower back with partial removal of spine bone and disc

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

This service was performed 35 times for 35 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

This service was performed 11 times for 11 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

This service was performed 92 times for 44 patients

Laminectomy or laminotomy (partial removal of spine bones)

A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.

This service was performed for 1-10 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 12 times for 12 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 18 times for 18 patients

Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back

This procedure involves partially removing a bone section in the lower back to relieve pressure on the spinal cord or nerves. It's performed during a spinal fusion, where bones in the lower back are joined to improve stability and reduce pain.

This service was performed 54 times for 35 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

This service was performed 35 times for 35 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

This service was performed 14 times for 14 patients

Placement of stabilizing device to back, 3-6 spine bone segments

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

This service was performed 28 times for 28 patients

X-ray of lower and sacral spine, 2-3 views

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

This service was performed 69 times for 64 patients

X-ray of upper spine, 2-3 views

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

This service was performed 16 times for 16 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 46825 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.04
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $20.51
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.48
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $16.62
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MRS. CARISSA L ASHTARY YAZDI PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609224732
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260942876
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 4 + 2 + 8 + 7 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1609224732 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598764128 GREGORY A HOFFMAN MD
Individual
Orthopaedic Surgery5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 484-8551
1659370088 WILLIAM B LASALLE MD
Individual
Orthopaedic Surgery (Hand Surgery)5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 484-8551
1720089188 DANIEL L BAUER CRNA
Individual
Nurse Anesthetist, Certified Registered5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 484-8551
1750373981 ANDREW S BOLLIER PA
Individual
Physician Assistant5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 484-8551
1699767616 ARTHUR C WARR MD
Individual
Orthopaedic Surgery5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 484-8551
1285608877MR. JEFFREY ALLEN BEER MA, LAT, ATC, CEAS
Individual
Specialist/Technologist (Athletic Trainer)5050 N CLINTON ST
FORT WAYNE, IN 46825
(800) 589-8551
1508834805MR. DOUGLAS C GARMAN ATC
Individual
Specialist/Technologist (Athletic Trainer)5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 484-8551
1750350039MRS. JOY LYNNE HUELSMAN ATC
Individual
Specialist/Technologist (Athletic Trainer)5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 223-4343
1013977354MR. CRAIG A DYER ATC
Individual
Specialist/Technologist (Athletic Trainer)5050 N CLINTON ST
FT WAYNE, IN 46825
(260) 484-8551
1588626949MRS. MICHELE L VINCE ATC, L
Individual
Specialist/Technologist (Athletic Trainer)5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 483-7974
1225091705MRS. KRISTA R BENNETT LAT, ATC
Individual
Neuromusculoskeletal Medicine, Sports Medicine5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 484-8551
1154384907MRS. TIFFANY KAISER MCBRIDE L-ATC
Individual
Specialist/Technologist (Athletic Trainer)5050 N CLINTON ST
FORT WAYNE, IN 46825
(419) 272-0012
1952368268 ROBERT WILLIAM HIRSCHELMAN LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 484-8551
1285679662INTEGRITY PHYSICAL THERAPY INC
Organization
Clinic/Center (Physical Therapy)5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 471-6202
1427081488 TIMOTHY HUBER P.T.
Individual
Physical Therapist5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 484-8551
1013940113 NATHAN NOTTER P.T.
Individual
Physical Therapist5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 471-6202
1558394528 MINDA LEMMON P.T.
Individual
Physical Therapist5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 484-8551
1164449773 JASON HOEPPNER P.T.
Individual
Physical Therapist5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 471-6202
1508883083 MARGARET KELLY O.T.
Individual
Occupational Therapist5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 471-6202
1245326081 DAVID W SPROWL PT, MSBA
Individual
Physical Therapist5050 N CLINTON ST
FORT WAYNE, IN 46825
(260) 484-8551

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609224732, enumerated in the NPI registry as an "individual" on May 31, 2016

The provider is located at 5050 N Clinton St Fort Wayne, In 46825 and the phone number is (260) 484-8551

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $82.04 with an average copayment of $20.51 for new patient appointments. Established patients should expect a typical charge of $66.48 and an average copayment of 16.62. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Fusion of additional segment of spine with partial removal of spine bone and disc, Fusion of spine in lower back with partial removal of spine bone and disc, Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc, Insertion of cage or mesh device to spine bone and disc space during spine fusion, Laminectomy or laminotomy (partial removal of spine bones), New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back, Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back, Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment, Placement of stabilizing device to back, 3-6 spine bone segments, X-ray of lower and sacral spine, 2-3 views and X-ray of upper spine, 2-3 views.

This NPI record was last updated on May 31, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.