Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891958682 Individual Practitioner Female Practitioner

Dr. Kristin D Will , MD

Pediatrics • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Kristin Will, MD is a registered healthcare professional specializing in Pediatrics in Fort Wayne, IN. Practice services are available at 10515 ILLINOIS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10515 Illinois Rd

Fort Wayne, IN 468149182

Telephone 2603739200
Fax 2603739219
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
57 Specialists

Practicing in Fort Wayne, IN (1179 Statewide)

Telehealth Adoption Rate
1.8% 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

CMS Verified: 2022-10-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01071038A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201069330 (IN)
Commercial Insurance / Payer ID Anthem
000000767126 (IN)

Practice Associates & Co-Workers

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

15 Associated Practitioners
Meghann Whetstone , RD

Dietitian, Registered

NPI 1063663276

Registered Dietitian

Suzanne Pattison , RD

Dietitian, Registered

NPI 1194053355

Registered Dietitian

NPI 1275737249

Doctor of Medicine (M.D.)

NPI 1487675047

Doctor of Medicine (M.D.)

NPI 1518029842

Doctor of Medicine (M.D.)

NPI 1528043056

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 Business Mailing Address November 29, 2021

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2021

Pediatrics (License #01071038A in IN)

NPI Profile Active January 25, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 25, 2017

Registered at 3926 NEW VISION DR, BLDG. H, FORT WAYNE, IN 468451712 (Tel: 2602668213)

📍
Updated Practice Location January 25, 2017

Registered at 10515 ILLINOIS RD, FORT WAYNE, IN 468149182 (Tel: 2603739200)

👤
Provider Name / Credentials Updated January 25, 2017

Recorded as KRISTIN WILL, M.D.

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

Pediatrics (License #4301092766 in MI)

NPI Profile Active June 22, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2012

Registered at 10515 ILLINOIS RD, FORT WAYNE, IN 468149182 (Tel: 2603739200)

📍
Updated Business Mailing Address June 22, 2012

Registered at 1234 E DUPONT RD, SUITE 7, FORT WAYNE, IN 468251545 (Tel: 2603739965)

👤
Provider Name / Credentials Updated June 22, 2012

Recorded as KRISTIN WILL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2012

Pediatrics (License #4301092766 in MI)

🟢
Initial NPI Registration & Enumeration July 02, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891958682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2008
Last Update: October 20, 2022
Sole Proprietor: Yes

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.