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Active NPI 1003328592 Individual Practitioner Female Practitioner

Mckenna A Gottfried

Nurse Practitioner • Fort Wayne, IN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mckenna Gottfried is a certified Nurse Practitioner practicing in Fort Wayne, IN. With approximately 9 years of clinical experience since completing medical education in 2017, Mckenna Gottfried delivers high-quality medical care to the local community at 3909 NEW VISION DR.

Mckenna Gottfried is affiliated with Parkview Health System Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, influenza vaccine, quadrivalent derived from recombinant dna. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3909 New Vision Dr

Fort Wayne, IN 468451725

Telephone 2604255500
Fax 2604255525
Associated Practice Facility / Clinic
🏢 Parkview Health System Inc Facility NPI 1932130952

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -0.2 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gottfried (9 Years) 9 Yrs
Fort Wayne Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
30 29 $196.00 $101.38

Medical Specialties & State Licenses

CMS Verified: 2024-07-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71007667A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License IN 28194377A

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.0036791

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Parkview Health System Inc

3909 New Vision Dr, Fort Wayne, IN 468451725

Phone: 2603738000

Secondary Practice Locations

442 W High St

Bryan, OH 435061681

Phone: 4196364517

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Angela Redding

Nurse Practitioner

NPI 1124608724
NPI 1134120421

Doctor of Medicine (M.D.)

NPI 1134184781

Doctor of Medicine (M.D.)

Dr. Robert Hart , MD

Family Medicine

NPI 1215939954

Doctor of Medicine (M.D.)

NPI 1285247403

NURSEPRACTITIONER

Dr. Todd Frazier , MD

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

NPI 1285890426

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 30, 2024

Registered at 3909 NEW VISION DR, FORT WAYNE, IN 468451725 (Tel: 2604255500)

📍
Updated Business Mailing Address June 29, 2021

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

NPI Profile Active November 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2017

Registered at 5693 YMCA PARK DR W, FORT WAYNE, IN 468353280 (Tel: 2604256500)

📍
Updated Business Mailing Address November 20, 2017

Registered at 3702 NEW VISION DR BLDG B, FORT WAYNE, IN 468451703

👤
Provider Name / Credentials Updated November 20, 2017

Recorded as MCKENNA GOTTFRIED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2017

Registered Nurse (License #28194377A in IN)

NPI Profile Active October 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2017

Registered at 5693 YMCA PARK DR W, FORT WAYNE, IN 468353280 (Tel: 2604256500)

📍
Updated Business Mailing Address October 25, 2017

Registered at 3702 NEW VISION DR BLDG B, FORT WAYNE, IN 468451703

👤
Provider Name / Credentials Updated October 25, 2017

Recorded as MCKENNA GOTTFRIED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2017

Registered Nurse (License #28194377A in IN)

🟢
Initial NPI Registration & Enumeration October 25, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003328592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2017
Last Update: July 30, 2024
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.