Individual provider Active NPI

Brittany Michelle Tucovic, PA

  • Physician Assistant
  • Fort Wayne, IN
National Provider Identifier
1063825578
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001656A Issued in IN
Practice address
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone
(260) 672-6620
Fax
(260) 672-6639
NPI assigned
Jun 3, 2014
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001656A IN Primary

Addresses

Primary practice location

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address bheiser118544@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, WA, AK, OR, MI, MT7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20140722000884 IN Practitioner - Physician Assistant 2264658624 Reassigns benefits to 4 organizations
I20150311002771 IL Practitioner - Physician Assistant 2264658624 Reassigns benefits to 1 organization
I20251126004392 WA Practitioner - Physician Assistant 2264658624 Reassigns benefits to 2 organizations
I20251126004396 AK Practitioner - Physician Assistant 2264658624 Reassigns benefits to 2 organizations
I20260107003820 OR Practitioner - Physician Assistant 2264658624 Reassigns benefits to 1 organization
I20260514003997 MI Practitioner - Physician Assistant 2264658624 Reassigns benefits to 1 organization
I20260608004232 MT Practitioner - Physician Assistant 2264658624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Medical Specialty GroupGroup PAC ID 2365838364, 56 clinicians
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Mi Post Acute Specialists PCGroup PAC ID 6204269483, 28 clinicians
Platinum Peaks Healthcare PCGroup PAC ID 0648784157, 45 clinicians

Practice addresses (Care Compare)

1001 S Main St
Suite 600
Kalispell, MT 59901-1498
Phone (253) 844-4327

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 425-6030

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6443

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 425-6030

2510 Lake Michigan Dr NW
Grand Rapids, MI 49504-8042
Phone (616) 301-8800

3020 S Union Ave
Tacoma, WA 98409-3317
Phone (253) 844-4327

441 E Main St
Centreville, MI 49032-9626
Phone (269) 467-9575

512 N Professional Way
Kendallville, IN 46755-2927
Phone (260) 347-8556

821 N St
Suite 102
Anchorage, AK 99501-3285
Phone (253) 844-4327

850 Phillips St
South Haven, MI 49090-1845
Phone (269) 637-5147

900 NE 27TH St
Bend, OR 97701-9548
Phone (253) 844-4327

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001656AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists, LLC CurrentSince Jan 15, 2026 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Feb 1, 2019 Accepting new patients
Pacific Medical Specialty Group CurrentSince Sep 26, 2025 Accepting new patients
In Post Acute Specialists, PC CurrentSince Jan 15, 2026 Accepting new patients
Platinum Peaks Healthcare PC CurrentSince Sep 29, 2025 Accepting new patients
Parkview Health System Inc CurrentSince Sep 2, 2022 Accepting new patients
Emergency Medicine of Indiana LLC Past Accepting new patients

Locations

821 N St
Ste 102
Anchorage, AK 99501
Phone (253) 844-4327

800 W Oakton St
Arlington Hts, IL 60004
Phone (847) 253-3710

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

326 Country Club Dr
New Albany, IN 47150
Phone (812) 948-1131

4915 Charlestown Rd
New Albany, IN 47150
Phone (812) 945-5221

1001 S Main St
Kalispell, MT 59901
Phone (406) 240-9015

900 NE 27th St
Bend, OR 97701
Phone (253) 844-4327

9825 S Jordan Gtwy
Sandy, UT 84070

3020 S Union Ave
Tacoma, WA 98409
Phone (253) 844-4327

917 Pacific Ave
Ste 600
Tacoma, WA 98402
Phone (253) 232-7495

Interoperability endpoints

  • Direct secure messaging: bheiser118544@direct.parkviewexchange.com

Organizations & group practices 10

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1063825578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701",
            "telephone_number": "260-672-6620",
            "fax_number": "260-672-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCOVIC",
        "first_name": "BRITTANY",
        "middle_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001656A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bheiser118544@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11109 Parkview Plaza Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11109 Parkview Plaza Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11109 Parkview Plaza Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.