Individual provider Active NPI

Mindy Scott

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1063122273
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71013330A Issued in IN
Practice address
3955 W Washington Center Rd.
Fort Wayne, IN 46818
Phone
(260) 425-3000
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71013330A IN Primary

Addresses

Primary practice location

3955 W Washington Center Rd.
Fort Wayne, IN 46818

Mailing address

921 E Dupont Rd # 815
Fort Wayne, IN 46825-1551

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
I20230109000385 IN Practitioner - Nurse Practitioner 9335519388 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Practice addresses (Care Compare)

150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247

8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs - Kentucky, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Eventus Wholehealth Midwest Inc CurrentSince Jun 1, 2023 Accepting new patients
Hospital Care Group, P.C. CurrentSince Dec 1, 2024 Accepting new patients
FWBH, LLC CurrentSince Jan 3, 2023 Accepting new patients
Eventus Ecs, Inc CurrentSince Dec 19, 2024 Accepting new patients
Eventus WH Midwest Care, LLC CurrentSince Oct 1, 2025 Accepting new patients
Extended Care Specialists, Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

2100 Midway St
Columbus, IN 47201
Phone 3178181240225

3955 W Washington Center Rd
Fort Wayne, IN 46818
Phone (260) 800-3601

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

3512 Stellhorn Rd
Fort Wayne, IN 46815

3955 W Washington Center Rd
#R
Fort Wayne, IN 46818

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479

150 W Market St
Ste 400
Indianapolis, IN 46204

8398 Mississippi St
Fl 2
Merrillville, IN 46410

Organizations & group practices 7

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1063122273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E DUPONT RD # 815",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 W WASHINGTON CENTER RD.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46818",
            "telephone_number": "260-425-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MINDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71013330A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.