Active NPI
Jessica Ann Filutze, CRNA
- Certified Registered Nurse Anesthetist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28153003A
- Practice address
- 5050 N Clinton St
Fort Wayne, IN 46825-5886 - Phone
- (260) 484-8551
- Fax
- (260) 482-5060
- NPI assigned
- May 31, 2012
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28153003A | IN | Primary |
Addresses
Primary practice location
5050 N Clinton St
Fort Wayne, IN 46825-5886
Mailing address
5052 N Clinton St
Fort Wayne, IN 46825-5822
Phone (260) 484-8551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201226980 | Medicaid | IN |
Other names 1
- Ms. Jessica Ann Reith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140602001055 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2961650395 | Reassigns benefits to 4 organizations |
| I20220311000833 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2961650395 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Duke University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Promedica Central PhysiciansAas Indiana LLCSurgery One Anesthesia LLC
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
4105 Dicke Rd
Fort Wayne, IN 46804-6135
Phone (260) 268-1000
5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone (260) 484-8551
Hospital & facility affiliations
- Orthopaedic Hospital at Parkview North
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28153003A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Aas Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Surgery One Anesthesia, LLC | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lake George Surgery Center, LLC | Past | Accepting new patients |
Locations
10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 688-3690
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000
4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000
1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001
5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551
5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604
1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Anesthesiology Physician
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- NPI 1912578667
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
IN, Nurse Anesthetist, Certified Registered, OH
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Optometrist
- Sylvania, OH
- NPI 1871912410
-
- Durable Medical Equipment & Medical Supplies
- Sylvania, OH
- NPI 1932595428
-
- Ambulatory Surgical Clinic/Center
- Fremont, IN
- NPI 1457960536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1699036152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5052 N CLINTON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255822",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 N CLINTON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255886",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILUTZE",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28153003A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201226980",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "REITH",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.