Active NPI
Deborah A. Gill-Henry, NP
- Nurse Practitioner
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71005721A
- Practice address
- 4402 E State Blvd
Fort Wayne, IN 46815-6917 - Phone
- (260) 425-5500
- Fax
- (260) 425-5505
- NPI assigned
- Jun 14, 2015
- Last updated
- Apr 20, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71005721A | IN | Primary |
Addresses
Primary practice location
4402 E State Blvd
Fort Wayne, IN 46815-6917
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deborah.gill-henry@lutheranhealthnetwork.cernerdirect.com | ||
| Direct Messaging Address | dgillhenry104651@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2516 E Dupont Rd
Fort Wayne, IN 46825-1608
Phone (260) 434-6076
512 N Professional Way
PPG First Care Walk in Clinic
Kendallville, IN 46755-2927
Phone (260) 347-8556
7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 432-2297
7938 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 436-8583
7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
7952 W Jefferson Blvd
The Orthopedic Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-2999
7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2836
7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-6105
7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 969-7280
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 77.41
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005721A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Medical Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Lutheran Medical Group LLC | Current | Accepting new patients |
Locations
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
7910 W Jefferson Blvd
Ste 102
Fort Wayne, IN 46804
Phone (260) 436-2424
7910 W Jefferson Blvd
Ste 200
Fort Wayne, IN 46804
Phone (260) 435-6275
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2836
401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100
Interoperability endpoints
- deborah.gill-henry@lutheranhealthnetwork.cernerdirect.com
- dgillhenry104651@direct.parkviewexchange.com
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
Nurse Practitioner
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1376586719
-
dba Parkview Wabash Multi-Specialty Physicians' Group
- Family Medicine Physician
- Wabash, IN
- NPI 1891176590
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1881075059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 E STATE BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468156917",
"telephone_number": "260-425-5500",
"fax_number": "260-425-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL-HENRY",
"first_name": "DEBORAH",
"middle_name": "A.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-14",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71005721A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deborah.gill-henry@lutheranhealthnetwork.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "7910 W Jefferson Blvd Ste 200",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468044159",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgillhenry104651@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "885 W Connexion Way",
"city": "Columbia City",
"state": "IN",
"country_code": "US",
"postal_code": "467251044",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "885 W Connexion Way",
"city": "Columbia City",
"state": "IN",
"country_code": "US",
"postal_code": "467251044",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "885 W Connexion Way",
"city": "Columbia City",
"state": "IN",
"country_code": "US",
"postal_code": "467251044",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.