Carissa Vancamp, NP - Medicare Nurse Practitioner in Fort Wayne, IN

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Carissa Vancamp, NP is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. Her current practice location is 3909 New Vision Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 469-6610.

Carissa Vancamp is licensed to practice in Indiana (license number 71013296A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346957917.

Contact Information

Carissa Vancamp, NP
3909 New Vision Dr,
Fort Wayne, IN 46845-1725
(260) 469-6610
(260) 969-3065

Map and Direction




Provider's Profile

Full NameCarissa Vancamp
GenderFemale
SpecialityNurse Practitioner
Location3909 New Vision Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346957917
  • Provider Enumeration Date: 11/02/2022
  • Last Update Date: 03/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365811569
  • Enrollment ID: I20221209002500

Medical Identifiers

Medical identifiers for Carissa Vancamp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346957917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28206591A (Indiana)Secondary
363L00000XNurse Practitioner 71013296A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carissa Vancamp allows following entities to bill medicare on her behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288
Entity NameExtended Care Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134146079
PECOS PAC ID: 2466407713
Enrollment ID: O20050318000726
Entity NameRp Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134570104
PECOS PAC ID: 9234424813
Enrollment ID: O20160822000852
Entity NameParkview Wabash Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891176590
PECOS PAC ID: 0244553360
Enrollment ID: O20181128002503
Entity NameEventus Wholehealth Midwest Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386252757
PECOS PAC ID: 4183040470
Enrollment ID: O20200818000277

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carissa Vancamp is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carissa Vancamp, NP
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: () -		Carissa Vancamp, NP
3909 New Vision Dr,
Fort Wayne, IN 46845-1725

Ph: (260) 469-6610

Reviews and Comments


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Kara Yackee,
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Medicare: Accepting Medicare Assignments
Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845
Phone: 260-469-6610    Fax: 260-969-3065

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.