Fern O McHenry, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000956A Issued in IN

Practice address

3512 Stellhorn Rd
Fort Wayne, IN 46815-4631

Phone

(260) 483-9081

Fax

(260) 483-9196

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, WA, MA, CO, OH5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Columbus, OH
  • NPI 1295316602

  OH

  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Bellevue, WA
  • NPI 1689249096

  WA

  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Littleton, CO
  • NPI 1730781691

  CO

  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Boston, MA
  • NPI 1881261303

  MA

  Medicare reassignment NPD
• Southern Arizona Urgent Care LLC

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1285994004

  AZ

  Medicare reassignment NPD
• Extended Care Specialists, Inc

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1669873733

  Nurse Practitioner

  NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1396317079
  NPD
• Southern Arizona Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1386003788
  NPD
• Southern Arizona Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1689039398
  NPD
• Fayette Memorial Hospital Association Inc.

  • General Acute Care Hospital
  • Connersville, IN
  • NPI 1508825720
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Rush Memorial Hospital

  • Rural Health Clinic/Center
  • Rushville, IN
  • NPI 1659935781
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1932201175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392552",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519500",
            "telephone_number": "260-483-9081",
            "fax_number": "260-483-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 STELLHORN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154631",
            "telephone_number": "260-483-9081",
            "fax_number": "260-483-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "FERN",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000956A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000956A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200324220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie McGrew, DDS
• Deborah McGuire
• Michaela McGuire
• Christina McGuirk
• Courtney McHale, RBT
• Lydia McHugh, DPT
• Mary E McHugh, PT
• Lauren McIlrath-Wiggins
• Brandon L. McIntire, NP-C
• Dianne B McIntosh, PT

• All providers in Fort Wayne, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.