Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619475779 Individual Practitioner Female Practitioner

Heather Renee Brown , FNP-C

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Heather Brown, FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 3005 E STATE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3005 E State

Fort Wayne, IN 46805

Telephone 2602679498

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
55.1% 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 (2019)
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
159 88 $175.00 $86.96
83036 Hemoglobin A1C level
125 81 $59.00 $10.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $275.00 $131.17

Medical Specialties & State Licenses

CMS Verified: 2022-12-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71007791A

(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 28164199A

(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 - Family

NUCC Taxonomy Code: 363LF0000X

State License IN 71007791A

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IN 7100791A

Definition to come...

Practice Associates & Co-Workers

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

5 Associated Practitioners
Raphilla Dixie

Counselor - Addiction (Substance Use Disorder)

NPI 1003465873
Susan Bailey , CNP

Nurse Practitioner - Family

NPI 1124540455

Certified Nurse Practitioner

Dr. Zeenat Habibullah , MD

Family Medicine - Addiction Medicine

NPI 1487393690

Doctor of Medicine (M.D.)

Jennifer Littke , AGPCNP-BC

Nurse Practitioner - Gerontology

NPI 1922470970

AGPCNPBC

Dr. John Buonocore , DO

Anesthesiology - Pain Medicine

NPI 1992801492

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

17 Historical Events
📍
Updated Practice Location June 20, 2025

Registered at 3005 E STATE, FORT WAYNE, IN 46805 (Tel: 2602679498)

📍
Updated Business Mailing Address June 20, 2025

Registered at 3005 E STATE, FORT WAYNE, IN 46805 (Tel: 2602679498)

👤
Provider Name / Credentials Updated June 20, 2025

Recorded as HEATHER BROWN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2025

Registered Nurse (License #28164199A in IN)

📍
Updated Practice Location December 30, 2022

Registered at 1001 N HICKORY RD STE 3, SOUTH BEND, IN 466153700 (Tel: 5743145987)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2022

Nurse Practitioner (License #71007791A in IN)

NPI Profile Active February 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2018

Registered at 11143 PARKVIEW PLAZA DR STE 311, FORT WAYNE, IN 468451728 (Tel: 2602668840)

📍
Updated Business Mailing Address February 22, 2018

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

👤
Provider Name / Credentials Updated February 22, 2018

Recorded as HEATHER BANKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2018

Registered Nurse (License #28164199A in IN)

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2018

Registered at 11143 PARKVIEW PLAZA DR STE 311, FORT WAYNE, IN 468451728 (Tel: 2602668840)

📍
Updated Business Mailing Address January 24, 2018

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

👤
Provider Name / Credentials Updated January 24, 2018

Recorded as HEATHER BANKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Registered Nurse (License #28164199A in IN)

🟢
Initial NPI Registration & Enumeration January 24, 2018

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: 1619475779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2018
Last Update: June 20, 2025
Sole Proprietor: Yes

Mailing Address

3005 E State

Fort Wayne, IN 46805

Phone: 2602679498

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.