Extended Care Specialists, Inc - Medicare Mental Health Clinic in Fort Wayne, IN

  1. Home
  2. Mental Health Clinics
  3. IN
  4. Fort Wayne
Extended Care Specialists, Inc is a medicare enrolled mental health clinic (Family Medicine - Adult Medicine) in Fort Wayne, Indiana. The current practice location for Extended Care Specialists, Inc is 3512 Stellhorn Rd, Fort Wayne, Indiana. For appointments, you can reach them via phone at (260) 483-9081. The mailing address for Extended Care Specialists, Inc is Po Box 392552, Pittsburgh, Pennsylvania and phone number is (260) 483-9081.

Extended Care Specialists, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134146079. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (260) 483-9081.

Contact Information

Extended Care Specialists, Inc
3512 Stellhorn Rd
Fort Wayne
IN 46815
(260) 483-9081
(260) 483-9196

Map and Direction


Mental Health Clinic Profile

Full NameExtended Care Specialists, Inc
SpecialityFamily Medicine
Location3512 Stellhorn Rd, Fort Wayne, Indiana
Authorized Official Name and PositionJennifer Rucci (OWNER)
Authorized Official Contact8557432247
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Extended Care Specialists, Inc
Po Box 392552
Pittsburgh
PA 15251-9552

Ph: (260) 483-9081		Extended Care Specialists, Inc
3512 Stellhorn Rd
Fort Wayne
IN 46815

Ph: (260) 483-9081

NPI Details:

NPI Number1134146079
Provider Enumeration Date07/16/2006
Last Update Date09/30/2024
Certification Date09/30/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2466407713
Medicare Enrollment IDO20050318000726

Medical Identifiers

Medical identifiers for Extended Care Specialists, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134146079NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
207QA0505XFamily Medicine - Adult Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Extended Care Specialists, Inc acts as a billing entity for following providers:
Provider NameSusan K Halley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891716312
PECOS PAC ID: 0941271241
Enrollment ID: I20040802000840
Provider NameMary H Rose
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891856399
PECOS PAC ID: 2961473863
Enrollment ID: I20040804000593
Provider NameKelly Jo Trieglaff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508991902
PECOS PAC ID: 2668449539
Enrollment ID: I20040911000186
Provider NameJoyce Mcmahon Palmateer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700867058
PECOS PAC ID: 9739148891
Enrollment ID: I20041005001207
Provider NameVahid-david Sedaghat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972584043
PECOS PAC ID: 5496714941
Enrollment ID: I20041008000991
Provider NameMary Catherine Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386661064
PECOS PAC ID: 3971558222
Enrollment ID: I20050322000064
Provider NameSteven Delee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407845001
PECOS PAC ID: 1658329461
Enrollment ID: I20050621001018
Provider NameThomas P Van Den Driessche
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073507745
PECOS PAC ID: 3678592292
Enrollment ID: I20051114000365
Provider NameAmy E Nugent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245299288
PECOS PAC ID: 1456352780
Enrollment ID: I20070129000548
Provider NameDonald Wolfram
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669499257
PECOS PAC ID: 7113020009
Enrollment ID: I20070314000177
Provider NameRuth Marie Poppele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851375364
PECOS PAC ID: 0345340477
Enrollment ID: I20070703000073
Provider NameKevin D Neese
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699710319
PECOS PAC ID: 6800867383
Enrollment ID: I20071016000210
Provider NamePaul T Kaplanis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497860167
PECOS PAC ID: 4981767696
Enrollment ID: I20090107000089
Provider NameKristi S Buis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205088283
PECOS PAC ID: 2163571092
Enrollment ID: I20090522000220
Provider NameCheryl Davis-land
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740335702
PECOS PAC ID: 8921147596
Enrollment ID: I20091120000563
Provider NameNina Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497730535
PECOS PAC ID: 0042353229
Enrollment ID: I20100210000516
Provider NameKevin M Conlee
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1548331747
PECOS PAC ID: 1951446921
Enrollment ID: I20100303000144
Provider NameAshley M Marshall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386875094
PECOS PAC ID: 8426180258
Enrollment ID: I20100714000830
Provider NameKelly J Butler
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518960681
PECOS PAC ID: 6608062443
Enrollment ID: I20101119000196
Provider NameLisa J Omo Griffith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629399696
PECOS PAC ID: 6709072853
Enrollment ID: I20101201000449
Provider NameRachel Renee Holcomb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356675409
PECOS PAC ID: 9436291655
Enrollment ID: I20101206000547
Provider NamePragneshkumar N Radadiya
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548421985
PECOS PAC ID: 4880886621
Enrollment ID: I20110620000655
Provider NameAmy M Howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760764351
PECOS PAC ID: 7315118353
Enrollment ID: I20110922000375
Provider NameSteven Shelton
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215934310
PECOS PAC ID: 6406754910
Enrollment ID: I20110930000216
Provider NameTina L Geary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083632616
PECOS PAC ID: 4587640909
Enrollment ID: I20111104000575
Provider NameJohnell J Treesh Valentine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417256702
PECOS PAC ID: 6305004417
Enrollment ID: I20120221000583
Provider NameJulienne E Leyva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972762516
PECOS PAC ID: 8224298641
Enrollment ID: I20120322000204
Provider NameKimberly A Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225387400
PECOS PAC ID: 3274782156
Enrollment ID: I20121009000813
Provider NameNatalie S Macdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730429994
PECOS PAC ID: 4082851464
Enrollment ID: I20130501000467
Provider NameMichelle M Diss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497198568
PECOS PAC ID: 9537307400
Enrollment ID: I20130605000052
Provider NameKimberly Schoengart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427300060
PECOS PAC ID: 7719128750
Enrollment ID: I20130802000295
Provider NameRichard Lamar Cain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336410703
PECOS PAC ID: 7618102310
Enrollment ID: I20131106000267
Provider NameStacey J Brames
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932533742
PECOS PAC ID: 4183850654
Enrollment ID: I20131112001376
Provider NameSusan Soares
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447550272
PECOS PAC ID: 5092948356
Enrollment ID: I20140513000118
Provider NameJennifer L Miskov
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114263233
PECOS PAC ID: 1153566864
Enrollment ID: I20140814002079
Provider NameSusan M Maloney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811276751
PECOS PAC ID: 9335461938
Enrollment ID: I20141210001633
Provider NameJennifer J Krohn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780083873
PECOS PAC ID: 9032439179
Enrollment ID: I20150513001586
Provider NameJennifer Nicole Kramer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1679958490
PECOS PAC ID: 2769796341
Enrollment ID: I20150728004050
Provider NameBridgit Lee Malone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629456454
PECOS PAC ID: 5294040283
Enrollment ID: I20150820009949
Provider NameKourtney Ellen Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972910602
PECOS PAC ID: 6406163070
Enrollment ID: I20150915000105
Provider NameGeraldine Elizabeth Darkwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730556267
PECOS PAC ID: 0648587709
Enrollment ID: I20150922002021
Provider NameAllison Snyder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982027785
PECOS PAC ID: 0941518187
Enrollment ID: I20151007002593
Provider NameSheila M Hoch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639557556
PECOS PAC ID: 1850600024
Enrollment ID: I20151029001036
Provider NameJessica Arce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972964484
PECOS PAC ID: 3577857655
Enrollment ID: I20160812000112
Provider NameSara A Golden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114378635
PECOS PAC ID: 9638466196
Enrollment ID: I20160927001252
Provider NameAmanda Jo Velez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952757528
PECOS PAC ID: 8527355031
Enrollment ID: I20160928000112
Provider NameCarrie Lee Dobbins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295282267
PECOS PAC ID: 1557640422
Enrollment ID: I20161116002207
Provider NameElisha Clouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407122351
PECOS PAC ID: 5193989085
Enrollment ID: I20161205000180
Provider NameCathryn Lynn Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831231372
PECOS PAC ID: 5890868822
Enrollment ID: I20161213001463
Provider NameAmber N Handshoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073034500
PECOS PAC ID: 5496025611
Enrollment ID: I20170720003060
Provider NameMelissa L Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649797655
PECOS PAC ID: 3577836626
Enrollment ID: I20170912000856
Provider NameKimberly A Hadler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770697062
PECOS PAC ID: 0648248252
Enrollment ID: I20180718000268
Provider NameAbraham Kuranga
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821418237
PECOS PAC ID: 0749579878
Enrollment ID: I20181023002662
Provider NameJennifer L Phelps
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548669112
PECOS PAC ID: 2264650340
Enrollment ID: I20181107000540
Provider NameJenniffer Lee Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881160885
PECOS PAC ID: 7416841655
Enrollment ID: I20181204000811
Provider NameJulie Marie Brewster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962970129
PECOS PAC ID: 5799028825
Enrollment ID: I20190513002548
Provider NameZachary L Kyle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104294180
PECOS PAC ID: 4789919176
Enrollment ID: I20190708001034
Provider NameNathan Call
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629636089
PECOS PAC ID: 3072849595
Enrollment ID: I20190722002400
Provider NameDeanna Forsythe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548828338
PECOS PAC ID: 9830425974
Enrollment ID: I20190726000247
Provider NameKara E Younce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245795913
PECOS PAC ID: 5092041137
Enrollment ID: I20190726000320
Provider NameTodd Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558923417
PECOS PAC ID: 2062742596
Enrollment ID: I20190926001855
Provider NameCasey Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154970879
PECOS PAC ID: 4880925619
Enrollment ID: I20191009002586
Provider NameElizabeth Ann Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164847372
PECOS PAC ID: 8729393160
Enrollment ID: I20191115001363
Provider NameCortney Wilcox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063954451
PECOS PAC ID: 6800136508
Enrollment ID: I20191118000112
Provider NameChanel Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013536358
PECOS PAC ID: 1850721465
Enrollment ID: I20200422003195
Provider NameDavid M Jette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962036715
PECOS PAC ID: 2466883376
Enrollment ID: I20200508002542
Provider NameMadalene Beckner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700408648
PECOS PAC ID: 2163843343
Enrollment ID: I20200526000132
Provider NameDevin Shafer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285252205
PECOS PAC ID: 7113342064
Enrollment ID: I20200817001750
Provider NameBernadette Gray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497370019
PECOS PAC ID: 0244657419
Enrollment ID: I20200902001755
Provider NameCorinne Rhoades
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649608639
PECOS PAC ID: 6204256886
Enrollment ID: I20201020002915
Provider NameBambi Michelle Cardinal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952915951
PECOS PAC ID: 7911318027
Enrollment ID: I20201120002233
Provider NameKaitlin Overfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508468133
PECOS PAC ID: 8921411430
Enrollment ID: I20201230000356
Provider NameTimothy S Mcafee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548851785
PECOS PAC ID: 6406264753
Enrollment ID: I20210426002532
Provider NameBrandy Lynn Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487221859
PECOS PAC ID: 8022412857
Enrollment ID: I20210802001173
Provider NameCatherine Flem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699388942
PECOS PAC ID: 6002229325
Enrollment ID: I20210907002085
Provider NameCamilla Wallace
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851572606
PECOS PAC ID: 6901202050
Enrollment ID: I20210915000893
Provider NameJosephine Mwachande
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073184206
PECOS PAC ID: 0143618645
Enrollment ID: I20211103000906
Provider NameJared Caudill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790454650
PECOS PAC ID: 4284023086
Enrollment ID: I20211117001103
Provider NameCourtenay Ann Miller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922644053
PECOS PAC ID: 2365876208
Enrollment ID: I20211129000335
Provider NameKaylyn Cooke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750968160
PECOS PAC ID: 4284025289
Enrollment ID: I20211230001290
Provider NameJenille L. Klopfenstein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215599758
PECOS PAC ID: 2365835113
Enrollment ID: I20220131001988
Provider NameRebecca Land
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790325504
PECOS PAC ID: 0547655664
Enrollment ID: I20220328000213
Provider NameLindsey Klopfenstein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447911615
PECOS PAC ID: 3577959782
Enrollment ID: I20220414001830
Provider NameLeann J Mayer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114678869
PECOS PAC ID: 7618356932
Enrollment ID: I20220616001907
Provider NamePaige Katherine Walker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700419744
PECOS PAC ID: 8820478738
Enrollment ID: I20220709000897
Provider NameJessica Wahl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457028565
PECOS PAC ID: 5991186942
Enrollment ID: I20220721002430
Provider NameCassandra Lynn Vanmeter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770218299
PECOS PAC ID: 2769867308
Enrollment ID: I20220916002419
Provider NameJennifer Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497917603
PECOS PAC ID: 6800262056
Enrollment ID: I20221013001524
Provider NameTabitha Alford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316394406
PECOS PAC ID: 4789977000
Enrollment ID: I20221031001110
Provider NameSarah Poag
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982325676
PECOS PAC ID: 6406223395
Enrollment ID: I20221107000813
Provider NameCarissa Vancamp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346957917
PECOS PAC ID: 2365811569
Enrollment ID: I20221209002500
Provider NameMindy A Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063122273
PECOS PAC ID: 9335519388
Enrollment ID: I20230109000385
Provider NameZeinab Hassan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053024182
PECOS PAC ID: 4981075215
Enrollment ID: I20230125001313
Provider NameElizabeth Low
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376288894
PECOS PAC ID: 9830577790
Enrollment ID: I20230303002060
Provider NameTon Le
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225689359
PECOS PAC ID: 9133598600
Enrollment ID: I20230307001180
Provider NameDouglas Mukorombindo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326764127
PECOS PAC ID: 8527431865
Enrollment ID: I20230307001255
Provider NameRobert Ritter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093421349
PECOS PAC ID: 4486028149
Enrollment ID: I20230320001430
Provider NameMakulah Schweiger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487006987
PECOS PAC ID: 8224316609
Enrollment ID: I20230328001036
Provider NameTeresa Cating
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508281593
PECOS PAC ID: 8123244084
Enrollment ID: I20230404001013
Provider NameCortney Kulers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841700341
PECOS PAC ID: 7214299312
Enrollment ID: I20230417000189
Provider NameAshleigh Denise Warburton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679274906
PECOS PAC ID: 3072988484
Enrollment ID: I20230417000357
Provider NameMarlene Whaley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609205442
PECOS PAC ID: 1254569643
Enrollment ID: I20230512000203
Provider NameCarissa Marie Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821307646
PECOS PAC ID: 2264627132
Enrollment ID: I20230517002223
Provider NameElizabeth Barnhill-blackwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386275006
PECOS PAC ID: 1850721374
Enrollment ID: I20230612000774
Provider NamePamela Nubong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891436481
PECOS PAC ID: 3779942925
Enrollment ID: I20230706000528
Provider NameSonya Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770267551
PECOS PAC ID: 1052771524
Enrollment ID: I20230714003069
Provider NameIvey Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063932473
PECOS PAC ID: 8729205505
Enrollment ID: I20230721001815
Provider NameChendra Dikko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669134847
PECOS PAC ID: 5092108738
Enrollment ID: I20230721002186
Provider NameJodi Guy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104411875
PECOS PAC ID: 7214345289
Enrollment ID: I20230804002241
Provider NameMolly Salmonsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356943799
PECOS PAC ID: 1254745367
Enrollment ID: I20230923000271
Provider NameSheena Steele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013412170
PECOS PAC ID: 9830452226
Enrollment ID: I20231030001104
Provider NameSushila Thapa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801679543
PECOS PAC ID: 3971959693
Enrollment ID: I20231031003211
Provider NameErnesto Nillar-fonseca
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1508003195
PECOS PAC ID: 9931592086
Enrollment ID: I20231108000231
Provider NameSara Hatfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831879055
PECOS PAC ID: 1355703950
Enrollment ID: I20231108003518
Provider NameStephanie Marie Yeakle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558142323
PECOS PAC ID: 3779931936
Enrollment ID: I20231128003072
Provider NameMargaret Miru
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326827916
PECOS PAC ID: 0446609259
Enrollment ID: I20231205002868
Provider NameAdam Culbertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245849835
PECOS PAC ID: 5799104154
Enrollment ID: I20231205003636
Provider NameAmber Adcock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629422886
PECOS PAC ID: 7214225341
Enrollment ID: I20240109002284
Provider NameRhonda Hoch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144769936
PECOS PAC ID: 4284087420
Enrollment ID: I20240124002475
Provider NameHaley Rush
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1225807993
PECOS PAC ID: 3274986419
Enrollment ID: I20240124002508
Provider NameMarion Nyaguthii Nganga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912785643
PECOS PAC ID: 4688804925
Enrollment ID: I20240125002517
Provider NameCheryl Lynn Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942061262
PECOS PAC ID: 7719320845
Enrollment ID: I20240206002419
Provider NameBruce Holder
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1639701279
PECOS PAC ID: 8820433402
Enrollment ID: I20240305003614
Provider NameChelsey Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699330217
PECOS PAC ID: 0345574273
Enrollment ID: I20240312000410
Provider NameMary Nguru
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225894454
PECOS PAC ID: 1759728678
Enrollment ID: I20240327000530
Provider NameVictor Zindoga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871350744
PECOS PAC ID: 3173960028
Enrollment ID: I20240327001492
Provider NameJessica Diane Sajdyk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558124180
PECOS PAC ID: 3072952720
Enrollment ID: I20240415003154
Provider NameJodi Keith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649981671
PECOS PAC ID: 4587034038
Enrollment ID: I20240416002745
Provider NameDennis Scott Sipe
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1871731711
PECOS PAC ID: 1254771074
Enrollment ID: I20240426002414
Provider NameBrenda L Goetz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750481222
PECOS PAC ID: 9739366147
Enrollment ID: I20240507001980
Provider NameAmanda Stagg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891561585
PECOS PAC ID: 4486091162
Enrollment ID: I20240507003025
Provider NameLorrie Nein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356044713
PECOS PAC ID: 7214396084
Enrollment ID: I20240507003329
Provider NameAllison Devaney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194581967
PECOS PAC ID: 1850733650
Enrollment ID: I20240524001177
Provider NameTracey Dapper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417347279
PECOS PAC ID: 5698092336
Enrollment ID: I20240607001120

Reviews and Comments

Family Medicine in Fort Wayne, IN

Prometheus Psychological Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10214 Chestnut Plaza Dr, Suite 130, Fort Wayne, IN 46814
Phone: 260-409-8188    
Christina Stapleton, L.l.c
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10315 Dawsons Creek Blvd # 12, Fort Wayne, IN 46825
Phone: 260-387-6340    
Oaktree Guidance & Wellness Center
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825
Phone: 260-570-4515    Fax: 260-209-0762
Courageous Healing Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2013 S Anthony Blvd, Fort Wayne, IN 46803
Phone: 260-417-4801    
Raj Clinics Professional Services Corporation
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 315 Airport North Office Park, Fort Wayne, IN 46825
Phone: 574-732-1166    Fax: 574-753-4117
Sharon Mowrer Counseling And Consulting Pc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1415 Magnavox Way, Suite 120, Fort Wayne, IN 46804
Phone: 260-760-8645    
A.w. Holdings, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3900 Hursh Rd, Fort Wayne, IN 46845
Phone: 260-637-3608    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.