MISS JENIFER KAY FORTNEY PA-C
NPI 1073963351
Physician Assistant - Medical in Fort Wayne, IN

Q: What is Jenifer Fortney's NPI number?

The NPI number for Jenifer Fortney is 1073963351. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Q: What is Jenifer Fortney's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jenifer Fortney was last updated on December 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment

98.04/100

CMS Quality Rating

5650 COVENTRY LN, FORT WAYNE, IN 46804(217) 508-8478 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2019, Jan 4, 2019, Jun 16, 2016 (3 updates tracked since 2016).

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About Miss Jenifer Kay Fortney Pa-c NPPES

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

MISS JENIFER KAY FORTNEY PA-C (NPI 1073963351) is an individual medical provider in Fort Wayne, Indiana, licensed in Indiana (10002104A) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Parkview Noble Hospital, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1073963351

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMISS JENIFER KAY FORTNEYCredential: PA-C

Location Address5650 COVENTRY LNFort Wayne, IN 46804-7140

Mailing Address5650 Coventry LnFort Wayne, IN 46804-7140 · (217) 508-8478

Phone(217) 508-8478

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 16, 2016

Last NPPES UpdateDecember 11, 20193 updates tracked since enumeration

✔ NPI 1073963351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IN · 10002104A

5650 COVENTRY LN, Fort Wayne, IN 46804

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Secondary Practice Location 1

Location 17950 W Jefferson BlvdFort Wayne, IN 46804-4140 · Phone (260) 435-7001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Miss Jenifer Kay Fortney Pa-c 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 ID9133416746

PECOS Enrollment IDI20160926001775

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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

482 services78 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

257 services226 patients

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.

132 services111 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

96 services90 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

91 services85 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

51 services49 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150146

Location401 Sawyer RdKendallville, IN 46755 · Noble County

Emergency services Birthing friendly

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.

98.04/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

93.48

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

99%164 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 5

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

DR. JEFFREY WALTER SASSMANNSHAUSEN M.D.

Specialist