Active NPI
Jessica R. Compton, PNP-AC
- Nurse Practitioner
- Fort Wayne, IN
National Provider Identifier
1336525914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71005629A
- Practice address
- 10343 Dawsons Creek Blvd
Suite a
Fort Wayne, IN 46825-1906 - Phone
- (260) 203-9600
- Fax
- (260) 739-6167
- NPI assigned
- Aug 5, 2015
- Last updated
- Aug 5, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71005629A | IN | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 71005629A | IN |
Addresses
Primary practice location
10343 Dawsons Creek Blvd
Suite a
Fort Wayne, IN 46825-1906
Mailing address
10343 Dawsons Creek Blvd
Suite a
Fort Wayne, IN 46825-1906
Phone (260) 203-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Pediatrics of Lima Inc | Past | Accepting new patients | |
| Innovative Hospital Care, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1922374172
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1336525914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10343 DAWSONS CREEK BLVD",
"address_2": "SUITE A",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251906",
"telephone_number": "260-203-9600",
"fax_number": "260-739-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10343 DAWSONS CREEK BLVD",
"address_2": "SUITE A",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251906",
"telephone_number": "260-203-9600",
"fax_number": "260-739-6167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPTON",
"first_name": "JESSICA",
"middle_name": "R.",
"credential": "PNP-AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-05",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71005629A",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IN",
"license": "71005629A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
- Compassionate Heart Gifted Hands Home Care LLC
- Compassionate Heart Gifted Hands Home Health LLC
- Compassionate Hearts Gifted Hands Homes LLC
- Comprehensive Behavioral Services, LLC
- Comprehensive Mental Health Services and Consultin (Todd A. Taylor, MS, LMHC)
- Joseph Compton
- Nathan Daniel Comsia, MD
- Paul F. Conarty, M.D.
- Brian Bernard Conaway, OTR
- Cheryl L. Confer, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.