MCKENNA A GOTTFRIED
NPI 1003328592
Nurse Practitioner in Fort Wayne, IN

Active since October 25, 2017PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
3909 NEW VISION DR, FORT WAYNE, IN 46845(260) 425-5500(260) 425-5525 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, Oct 10, 2022, Jun 29, 2021 and 2 more (5 updates tracked since 2017).

About Mckenna A Gottfried NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKENNA A GOTTFRIED (NPI 1003328592) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71007667A) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bryan, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003328592
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMCKENNA A GOTTFRIED
Location Address3909 NEW VISION DRFort Wayne, IN 46845-1725
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 425-5525
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 25, 2017
Last NPPES UpdateJuly 30, 20245 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
NPI 1003328592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in IN · 71007667A Licensed in OH · APRN.CNP.0036791
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 28194377A (IN)
3909 NEW VISION DR, Fort Wayne, IN 46845

Secondary Practice Location 1

Location 1442 W High StBryan, OH 43506-1681 · Phone (419) 636-4517 · Fax (419) 636-6438

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mckenna A Gottfried is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688933609
PECOS Enrollment IDI20180122000812
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$178.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3909 NEW VISION DR
FORT WAYNE, IN 46845
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Internal Medicine (Nephrology)
3909 NEW VISION DR
FORT WAYNE, IN 46845
Family Medicine
3909 NEW VISION DR
FORT WAYNE, IN 46845
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845
Nurse Practitioner
3909 NEW VISION DR
FORT WAYNE, IN 46845

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckenna Gottfried's NPI number?

The NPI number for Mckenna Gottfried is 1003328592. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Mckenna Gottfried located?

Mckenna Gottfried practices at 3909 New Vision Dr, Fort Wayne, IN 46845. The listed phone number is (260) 425-5500.

What is Mckenna Gottfried's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mckenna Gottfried enrolled in Medicare?

Yes. Mckenna Gottfried is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mckenna Gottfried accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Mckenna Gottfried as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mckenna Gottfried was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.