Individual provider Active NPI

Jessica Leffers, FNP

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1043092372
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09210115 Issued in IN
Practice address
7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone
(260) 432-4400
NPI assigned
Oct 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09210115 IN Primary

Addresses

Primary practice location

7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Mailing address

3327 Buckeye Run
Fort Wayne, IN 46814-8906
Phone (260) 403-0480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222000331 IN Practitioner - Nurse Practitioner 1355791955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

2510 E Dupont Rd
Suite 210
Fort Wayne, IN 46825-1602
Phone (260) 969-2990

2518 E Dupont Rd
Womens Health Advantage
Fort Wayne, IN 46825-1675
Phone (260) 432-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F09210115INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Medical Group LLC CurrentSince Jan 14, 2026 Accepting new patients
Lutheran Medical Group LLC CurrentSince Jan 14, 2026 Accepting new patients
Associated Surgeons and Physicians, LLC CurrentSince Jan 8, 2024 Accepting new patients
Associated Surgeons and Physicians, LLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

2510 E DuPont Rd
Ste 210
Fort Wayne, IN 46825
Phone (260) 436-0259

7988 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-0259

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

2518 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 969-6882

1520 Provident Dr
Warsaw, IN 46580
Phone (260) 434-6447

1275 Provident Dr
Warsaw, IN 46580
Phone (574) 269-4026

Interoperability endpoints

  • Direct secure messaging: jleffers@asap.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1043092372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 BUCKEYE RUN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148906",
            "telephone_number": "260-403-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7988 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-432-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFERS",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F09210115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.