Active NPI
Katie May Jordan, NP
- Nurse Practitioner
- Wabash, IN
National Provider Identifier
1134084288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71017810A
- Practice address
- 8 John Kissinger Dr
Wabash, IN 46992-1648 - Phone
- (260) 563-7451
- Fax
- (260) 569-2284
- NPI assigned
- Dec 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28253487A | IN | |
| Nurse Practitioner | 363L00000X | 71017810A | IN | Primary |
Addresses
Primary practice location
8 John Kissinger Dr
Wabash, IN 46992-1648
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11109 Parkview Plaza Dr
Suite 117
Fort Wayne, IN 46845-1701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28253487A | IN | MD | Registered Nurse |
| 71017810A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Wabash Hospital, Inc. | Current | Accepting new patients | |
| Parkview Wabash Hospital, Inc. | Current | Accepting new patients |
Locations
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
8 John Kissinger Dr
Wabash, IN 46992
Phone (260) 563-7421
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Wabash, IN
- NPI 1891176590
-
- Rural Health Clinic/Center
- Wabash, IN
- NPI 1982103511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1134084288",
"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": "8 JOHN KISSINGER DR",
"city": "WABASH",
"state": "IN",
"postal_code": "469921648",
"telephone_number": "260-563-7451",
"fax_number": "260-569-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "KATIE",
"middle_name": "MAY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-22",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28253487A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71017810A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wabash, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.