NPIMap

Organization Active NPI

Orthopaedic Hospital at Parkview North, LLC

  • Special Hospital
  • Fort Wayne, IN
National Provider Identifier
1568664613
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC
Practice address
11130 Parkview Circle Dr
Fort Wayne, IN 46845-1735
Phone
(260) 672-5000
NPI assigned
Jun 1, 2007
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Mrs. Jessica Lee-Hansen
Title
Cfo
Phone
(312) 388-0125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 070058452 IN
Special Hospital 284300000X Primary

Addresses

Primary practice location

11130 Parkview Circle Dr
Fort Wayne, IN 46845-1735

Mailing address

PO Box 5600
Fort Wayne, IN 46895-5600
Phone (260) 373-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000270 IN Part A Provider - Hospital 7315038395 Practice locations: Fort Wayne, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568664613. Details of each certification follow.

Hospital certification: CCN 150167

Legal name
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
Doing business as
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 8, 2007
Last certification
Nov 9, 2007
Beds
49
Ownership / control type
Private (not for profit)
Organization structure
LLCProprietary
Enrollment address
11130 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Care Compare: Hospital

Medicare Care Compare
Listed as
Orthopaedic Hospital at Parkview NorthCCN 150167 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Orthopaedic Hospital at Parkview North LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

11119 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 482-7811

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Micah W Smith Individual Corporate Officer Jan 1, 2026
Northeast Orthopaedic Hospital Investors, LLC Organization, Fort Wayne, IN LLC 5% Or Greater Direct Ownership Interest Nov 8, 2007 40%
Parkview Health System Inc Organization, Fort Wayne, IN Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2007 60%
Ahmer K Ghori Individual Corporate Officer Jan 1, 2026
Lori J Pagan Individual Corporate Officer Jan 1, 2026
Jessica Lee-Hansen Individual Corporate Officer Jan 1, 2026
W-2 Managing Employee Jan 1, 2026
Stephen Anthony Wright Individual Corporate Officer Jan 1, 2026
Rick Henvey Individual Corporate DirectorBoard Member Dec 18, 2014
W-2 Managing Employee Jan 1, 2014
Christopher Neil Johnson Individual Corporate OfficerPresident PRMC and Affiliates Jan 1, 2026

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 108

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 108

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1568664613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5600",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468955600",
            "telephone_number": "260-373-7008",
            "fax_number": "260-373-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 PARKVIEW CIRCLE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451735",
            "telephone_number": "260-672-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "LEE-HANSEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-388-0125",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "070058452",
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.