Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447572441 Individual Practitioner Female Practitioner

Kathryn L Smith , APN

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Kathryn Smith, APN is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 11104 PARKVIEW CIRCLE DR STE 20 under active NPI credentials.

Frequently performed procedures and clinical services include advance care planning, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least, advance care planning by the physician or other qualified health care professional. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11104 Parkview Circle Dr Ste 20

Fort Wayne, IN 468451733

Telephone 2602662500
Fax 2602662514
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
62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99497 Advance care planning, first 30 minutes
42 34 $236.00 $63.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
37 23 $185.00 $83.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
27 18 $140.00 $57.82
99498 Advance care planning by the physician or other qualified health care professional
18 16 $221.00 $59.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
17 16 $340.00 $161.06

Medical Specialties & State Licenses

CMS Verified: 2021-07-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71003192A

(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
201025970 (IN)
Commercial Insurance / Payer ID Anthem Bcbs
000000819721 (IN)

Practice Associates & Co-Workers

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

22 Associated Practitioners
Adeeba Nes-Iadicola

Nurse Practitioner

NPI 1023674629
Dr. Dona Uncheselu , MD

Family Medicine - Hospice and Palliative Medicine

NPI 1083820286

Doctor of Medicine (M.D.)

Shannon Tranquill

Nurse Practitioner

NPI 1134675267
Jessica Shafer

Nurse Practitioner

NPI 1184487365
John Westhoff , NP

Nurse Practitioner

NPI 1194164319

Nurse Practitioner

Dr. Saeed Bajwa , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1255439915

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address July 09, 2021

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

📍
Updated Practice Location May 13, 2020

Registered at 11104 PARKVIEW CIRCLE DR STE 20, FORT WAYNE, IN 468451733 (Tel: 2602662500)

📍
Updated Business Mailing Address May 13, 2020

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2020

Nurse Practitioner (License #71003192A in IN)

NPI Profile Active August 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2014

Registered at 5910 HOMESTEAD RD, FORT WAYNE, IN 468144202 (Tel: 2604353222)

📍
Updated Business Mailing Address August 26, 2014

Registered at 5910 HOMESTEAD RD, FORT WAYNE, IN 468144202 (Tel: 2604353222)

👤
Provider Name / Credentials Updated August 26, 2014

Recorded as KATHRYN SMITH, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2014

Nurse Practitioner (License #71003192A in IN)

🟢
Initial NPI Registration & Enumeration February 18, 2010

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: 1447572441
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2010
Last Update: July 09, 2021
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.