Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104862382 Individual Practitioner Female Practitioner

Jean D. Ross , NP

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Jean Ross, NP is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 2516 E DUPONT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2516 E Dupont Rd

Fort Wayne, IN 468251608

Telephone 2604346076
Fax 2604890833
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
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

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71000818A

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200290830 (IN)
Commercial Insurance / Payer ID Anthem
000000611224 (IN)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Rami Wali , MD

Internal Medicine - Pulmonary Disease

NPI 1235183203

Doctor of Medicine (M.D.)

Stephanie Taylor , FNP

Nurse Practitioner - Family

NPI 1750033957

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2017

Registered at 2516 E DUPONT RD, FORT WAYNE, IN 468251608 (Tel: 2604346076)

📍
Updated Business Mailing Address January 03, 2017

Registered at 6920 POINTE INVERNESS WAY STE 200, MEDPARTNERS, ATTN: BARB COPELAND, FORT WAYNE, IN 468047934 (Tel: 2604793514)

👤
Provider Name / Credentials Updated January 03, 2017

Recorded as JEAN ROSS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2017

Nurse Practitioner (License #71000818A in IN)

🟢
Initial NPI Registration & Enumeration June 22, 2006

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: 1104862382
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2006
Last Update: January 03, 2017
Sole Proprietor: No

Mailing Address

6920 Pointe Inverness Way Ste 200, Medpartners, Attn: Barb Copeland

Fort Wayne, IN 468047934

Phone: 2604793514

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.