Active NPI
Janet Casperson, NP
- Nurse Practitioner
- Fort Wayne, IN
National Provider Identifier
1326007519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71000792A
- Practice address
- 2121 Lake Avenue
Room 345
Fort Wayne, IN 46805 - Phone
- (260) 426-5431
- Fax
- (260) 460-1385
- NPI assigned
- Mar 17, 2006
- Last updated
- Jun 19, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71000792A | IN | Primary |
Addresses
Primary practice location
2121 Lake Avenue
Room 345
Fort Wayne, IN 46805
Mailing address
2121 Lake Avenue
Room 345
Fort Wayne, IN 46805
Phone (260) 426-5431
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000530312 | Other | IN | ANTHEM BC/BS |
| 200290840 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000792A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Family Medical Consultants PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1265454755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1326007519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 LAKE AVENUE",
"address_2": "ROOM 345",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46805",
"telephone_number": "260-426-5431",
"fax_number": "260-460-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 LAKE AVENUE",
"address_2": "ROOM 345",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46805",
"telephone_number": "260-426-5431",
"fax_number": "260-460-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASPERSON",
"first_name": "JANET",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71000792A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000530312",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200290840",
"state": "IN"
}
],
"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 Jun 19, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.