Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902860141 Individual Practitioner Female Practitioner

Jenna Lynn Decraene , ATC, LAT

Specialist/Technologist - Athletic Trainer • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Jenna Decraene, ATC, LAT is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Fort Wayne, IN. Practice services are available at 7920 W JEFFERSON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7920 W Jefferson Blvd
Suite 100

Fort Wayne, IN 468044168

Telephone 2604590917
Associated Practice Facility / Clinic
🏢 Summit Surgical Suites, Llc Facility NPI 1154322410

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
189 Specialists

Practicing in Fort Wayne, IN (1604 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2022-08-27
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IN 36001248A

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. James Alexander , MD

Obstetrics & Gynecology

NPI 1275528457

Doctor of Medicine (M.D.)

Dr. Peter Rothman , MD

Allergy & Immunology - Allergy

NPI 1982605937

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address August 27, 2022

Registered at 952 SKILLET AVE, HUNTERTOWN, IN 467480109 (Tel: 2605150065)

👤
Provider Name / Credentials Updated August 27, 2022

Recorded as JENNA DECRAENE, A.T.C., LAT

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7920 W JEFFERSON BLVD, SUITE 100, FORT WAYNE, IN 468044168 (Tel: 2604590917)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2026 ARDMORE AVE, APT. 110, FORT WAYNE, IN 468024837 (Tel: 4197710024)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JENNA BAUMLE, A.T.C., LAT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist (License #36001248A in IN)

🟢
Initial NPI Registration & Enumeration April 14, 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: 1902860141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2006
Last Update: August 27, 2022
Sole Proprietor: No

Mailing Address

952 Skillet Ave

Huntertown, IN 467480109

Phone: 2605150065

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.