MCKENNA A GOTTFRIED
NPI 1003328592
Nurse Practitioner in Fort Wayne, IN
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mckenna Gottfried reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46845
- Reassigned Medicare billing, Indiana enrollment
- 1,752 clinicians in this Medicare group
Bryan, OH 43506
- Reassigned Medicare billing, Ohio enrollment
- 133 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Mckenna Gottfried's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mckenna Gottfried reassigns Medicare benefits to 2 organizations: Parkview Health System Inc (Fort Wayne, IN) and Midwest Community Health Associates, Inc. (Bryan, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mckenna Gottfried's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mckenna Gottfried accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Paramount 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.
# Mckenna A Gottfried · NPI 1003328592
Nurse Practitioner physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since October 25, 2017.
## Identity
- **NPI:** 1003328592 (Entity type: Individual)
- **Enumerated:** October 25, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71007667A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3909 NEW VISION DR, Fort Wayne, IN 46845-1725
- **Phone:** (260) 425-5500 · **Fax:** (260) 425-5525
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Parkview Health System Inc (NPI 1932130952, Fort Wayne, IN); Midwest Community Health Associates, Inc. (NPI 1619915170, Bryan, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003328592) · Data from the CMS NPPES public registry.