Active NPI
Anicia Nicole Howard, NP
- Family Nurse Practitioner
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28220617A
- Practice address
- 700 Broadway
Fort Wayne, IN 46802-1402 - Phone
- (260) 344-4035
- Fax
- (260) 969-9272
- NPI assigned
- Sep 20, 2021
- Last updated
- Sep 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28220617A | IN | Primary |
Addresses
Primary practice location
700 Broadway
Fort Wayne, IN 46802-1402
Mailing address
6435 W Jefferson Blvd
PMB 109
Fort Wayne, IN 46804-6203
Phone (260) 344-4035
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 432-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Surgeons and Physicians, LLC | Current | Accepting new patients | |
| Hospital Care Group, P.C. | Current | Accepting new patients | |
| Associated Surgeons and Physicians, LLC | Current | Accepting new patients | |
| Delbello, LLC | Past | Accepting new patients |
Locations
2518 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 969-6882
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
700 Broadway
Fort Wayne, IN 46802
Phone (219) 458-2228
7988 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-0259
1275 Provident Dr
Warsaw, IN 46580
Phone (574) 269-4026
737 N Detroit St
Warsaw, IN 46580
Phone (260) 436-0259
Interoperability endpoints
- ahoward@asap.emadirect.md
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1265102305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6435 W JEFFERSON BLVD",
"address_2": "PMB 109",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046203",
"telephone_number": "260-344-4035",
"fax_number": "260-969-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 BROADWAY",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468021402",
"telephone_number": "260-344-4035",
"fax_number": "260-969-9272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "ANICIA",
"middle_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28220617A",
"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 Sep 20, 2021; 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.