ACT 3 CARE LLC
NPI 1023432192
Family Medicine - Geriatric Medicine in Fort Wayne, IN
About Act 3 Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACT 3 CARE LLC (NPI 1023432192) is a healthcare organization registered as a geriatric medicine in Fort Wayne, Indiana and active in the NPI registry since February 2014. The organization lists Shannon Pace, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Act 3 Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Act 3 Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Act 3 Care LLC's NPI number?
The NPI number for Act 3 Care LLC is 1023432192. It was assigned to this organization in the NPPES registry on February 10, 2014.
Where is Act 3 Care LLC located?
Act 3 Care LLC is located at 7309 Trier Rd, Fort Wayne, IN 46815. The listed phone number is (260) 515-3275.
What is Act 3 Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Act 3 Care LLC enrolled in Medicare?
Yes. Act 3 Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Act 3 Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Act 3 Care LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Act 3 Care LLC was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Act 3 Care Llc · NPI 1023432192
Geriatric Medicine organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since February 10, 2014.
## Identity
- **NPI:** 1023432192 (Entity type: Organization)
- **Enumerated:** February 10, 2014
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Shannon Pace, OFFICE MANAGER
## Practice location
- **Address:** 7309 TRIER RD, Fort Wayne, IN 46815-5566
- **Phone:** (260) 515-3275
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1023432192) · Data from the CMS NPPES public registry.