Organization Active NPI

Parkview Ortho Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1063757227
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PARKVIEW ORTHO CENTER, LLC
Practice address
11420 Parkview Circle Dr
Fort Wayne, IN 46845-1729
Phone
(260) 482-5194
NPI assigned
Nov 29, 2012
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Mrs. Jessica Lee-Hansen
Title
Cfo
Phone
(312) 388-0125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

11420 Parkview Circle Dr
Fort Wayne, IN 46845-1729

Mailing address

10501 Corporate Dr
Fort Wayne, IN 46845-1700
Phone (260) 373-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130528000171 IN Part B Supplier - Ambulatory Surgical Center 3870739949 Practice locations: Fort Wayne, IN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Parkview Ortho Center LLCCCN 15C0001026
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Orthopaedic Hospital at Parkview North LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1063757227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 CORPORATE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451700",
            "telephone_number": "260-373-7100",
            "fax_number": "260-373-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 PARKVIEW CIRCLE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451729",
            "telephone_number": "260-482-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW ORTHO CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC",
        "enumeration_date": "2012-11-29",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "LEE-HANSEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-388-0125",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.