Active NPI
Jennifer Ann O'Daniel, CRNA
- Certified Registered Nurse Anesthetist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28285850A
- Practice address
- 6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203 - Phone
- (260) 436-7875
- Fax
- (260) 432-9812
- NPI assigned
- Nov 10, 2025
- 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 | 28285850A | IN | Primary |
Addresses
Primary practice location
6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203
Mailing address
PO Box 843603
Dallas, TX 75284-3603
Phone (407) 667-0444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
Hospital & facility affiliations
- The Orthopaedic Hospital of Lutheran Health Networ
- Lutheran Hospital of Indiana
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28285850A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists of Fort Wayne PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U S Anesthesia Partners of Kentucky PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
2510 E DuPont Rd
Ste 130
Fort Wayne, IN 46825
Phone (260) 416-3380
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1144901042
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1861362220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843603",
"city": "DALLAS",
"state": "TX",
"postal_code": "752843603",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6435 W JEFFERSON BLVD # 434",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046203",
"telephone_number": "260-436-7875",
"fax_number": "260-432-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DANIEL",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28285850A",
"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 Nov 10, 2025; 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.