Susan Rebekah Defrain, NP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG02170207 Issued in IN

Practice address

5910 Homestead Rd
Fort Wayne, IN 46814-4202

Phone

(260) 435-3222

NPI assigned

Mar 17, 2017

Last updated

Dec 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visiting Nurse and Hospice Home IncGroup PAC ID 4082703608, 6 clinicians

Rounding ProvidersGroup PAC ID 5496947764, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rounding Providers

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1538486691
  Medicare reassignment Care Compare group NPD
• Visiting Nurse and Hospice Home Inc

  dba Stillwater Hospice

  • Home Health Agency
  • Fort Wayne, IN
  • NPI 1083751002
  Medicare reassignment Care Compare group NPD
• Indiana University Health Care Associates, Inc

  dba IU Health Physicians

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1902032832
  Medicare reassignment NPD
• Community Living Resources LLC

  • In Home Supportive Care Agency
  • Fort Wayne, IN
  • NPI 1780065425
  Medicare reassignment

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

• Iom Health System LP

  dba Lutheran Hospital of Indiana

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335
  Care Compare affiliation

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1174064562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 HOMESTEAD RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468144202",
            "telephone_number": "260-435-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 HOMESTEAD RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468144202",
            "telephone_number": "260-435-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRAIN",
        "first_name": "SUSAN",
        "middle_name": "REBEKAH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "AG02170207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lynn Decraene, A.T.C., LAT
• Bradley David Dedic, PHARMD
• Alyson Deel, MA
• Coral Deermer, RBT
• Erica Deetz
• Darlene M Degener, NP-C
• Alexandra Leree Degitz, RDN, LD
• Amber R. Degitz, NP
• Tara L Degunya, MS ED, LMHC
• Erica Dehart, LCSW

• Gerontology Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Gerontology Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.

Verify at the official NPI Registry.