Individual provider Active NPI

Linzie A Howard

  • Primary Care Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1104473255
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
71009277A Issued in IN
Practice address
3010 Independence Dr
Fort Wayne, IN 46808-1328
Phone
(260) 739-5821
Fax
(260) 527-4802
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 71009277A IN Primary

Addresses

Primary practice location

3010 Independence Dr
Fort Wayne, IN 46808-1328

Mailing address

3010 Independence Dr
Fort Wayne, IN 46808-1328
Phone (260) 739-5821

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
I20190918003331 IN Practitioner - Nurse Practitioner 2163752056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Connections LLCGroup PAC ID 5799080511, 3 clinicians

Practice addresses (Care Compare)

110 N Johnson St
Bluffton, IN 46714-1910
Phone (260) 739-5821

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Fort Wayne, IN, CCN 157583
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Connections CurrentSince Aug 26, 2019 Accepting new patients

Locations

110 N Johnson St
Bluffton, IN 46714
Phone (260) 739-5821

3010 Independence Dr
Fort Wayne, IN 46808
Phone (260) 348-2485

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17849/brand/1/csg/1/fhir/r4
  • Direct secure messaging: linzie.howard.1@17849.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1104473255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 INDEPENDENCE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081328",
            "telephone_number": "260-739-5821",
            "fax_number": "260-527-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 INDEPENDENCE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081328",
            "telephone_number": "260-739-5821",
            "fax_number": "260-527-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "LINZIE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71009277A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.