Active NPI
Jean Marie Wyss
- Orthopedic Registered Nurse
- Fort Wayne, IN
National Provider Identifier
1770251241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Registered Nurse
- License
- 28124729A
- Practice address
- 11130 Parkview Circle Dr # 7
Fort Wayne, IN 46845-1735 - Phone
- (260) 672-4050
- NPI assigned
- Aug 31, 2021
- Last updated
- Aug 31, 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 |
|---|---|---|---|---|
| Orthopedic Registered Nurse | 163WX0800X | 28124729A | IN | Primary |
Addresses
Primary practice location
11130 Parkview Circle Dr # 7
Fort Wayne, IN 46845-1735
Mailing address
15116 Witte Rd
Hoagland, IN 46745-9717
Phone (260) 385-1185
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28124729A | IN | MD | Orthopedic Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1770251241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15116 WITTE RD",
"city": "HOAGLAND",
"state": "IN",
"postal_code": "467459717",
"telephone_number": "260-385-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11130 PARKVIEW CIRCLE DR # 7",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451735",
"telephone_number": "260-672-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYSS",
"first_name": "JEAN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "IN",
"license": "28124729A",
"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 Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.