Individual provider Active NPI

Rebecca Ruth Krull Brown, FNP

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1932673167
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008744A Issued in IN
Practice address
7910 W Jefferson Blvd Ste 110
Fort Wayne, IN 46804-4159
Phone
(260) 436-4116
Fax
(260) 436-1878
NPI assigned
Jan 22, 2019
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008744A IN Primary

Addresses

Primary practice location

7910 W Jefferson Blvd Ste 110
Fort Wayne, IN 46804-4159

Mailing address

7910 W Jefferson Blvd Ste 110
Fort Wayne, IN 46804-4159
Phone (260) 436-4116

Other practice location 1

10307 DuPont Circle Dr W Ste B
Fort Wayne, IN 46825-1633
Phone (260) 818-7001

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226000896 IN Practitioner - Nurse Practitioner 4385983964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiation Oncology Associates P CGroup PAC ID 8527041771, 9 clinicians

Practice addresses (Care Compare)

7910 W Jefferson Blvd
Suite 110
Fort Wayne, IN 46804-4159
Phone (260) 436-4116

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Associates P C CurrentSince Aug 8, 2022 Accepting new patients

Locations

516 E Maumee St
Angola, IN 46703
Phone (219) 624-2120

11050 Parkview Circle Dr
Fort Wayne, IN 46845
Phone (833) 724-8326

7910 W Jefferson Blvd
Ste 110
Fort Wayne, IN 46804
Phone (260) 436-4116

1520 Provident Dr
Warsaw, IN 46580
Phone (260) 434-6447

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1932673167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD STE 110",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-4116",
            "fax_number": "260-436-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD STE 110",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-4116",
            "fax_number": "260-436-1878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10307 DuPont Circle Dr W Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251633",
            "country_code": "US",
            "telephone_number": "260-818-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REBECCA",
        "middle_name": "RUTH KRULL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008744A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.