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STILLWATER HOSPICE
NPI 1083751002
Home Health in Fort Wayne, IN

Active since January 31, 2007CLIA 15D0357944 · Waiver
5910 HOMESTEAD RD, FORT WAYNE, IN 46814(260) 435-3222(260) 435-3275 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Stillwater Hospice NPPES

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

STILLWATER HOSPICE (NPI 1083751002) is a healthcare organization registered as a home health in Fort Wayne, Indiana and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Leslie Friedel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083751002
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameVISITING NURSE AND HOSPICE HOME INC
Location Address5910 HOMESTEAD RDFort Wayne, IN 46814-4202
Mailing Address5910 Homestead RdFort Wayne, IN 46814-4202 · (260) 435-3222 · Fax (260) 435-3275
Phone(260) 435-3222
Fax(260) 435-3275
Organization SubpartNo
Authorized OfficialLeslie FriedelCeo · (260) 435-3222
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1083751002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
5910 HOMESTEAD RD, Fort Wayne, IN 46814
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Other Names 1

Doing Business AsStillwater Hospice

Other Identifiers 1

Medicaid100272130AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stillwater Hospice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Stillwater Hospice, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner8
Family Practice1
General Practice1
Geriatric Medicine1

Clinicians, nearest first (11)

Susan Defrain, NP-C
Nurse Practitioner
NPI 1174064562
5910 HOMESTEAD RD
Fort Wayne, IN 46814
(260) 435-3222
✔ PECOS✔ Accepts MedicareSame address
David Tribble, M.D.
Family Practice
NPI 1154361855
5910 HOMESTEAD RD
Fort Wayne, IN 46814
(574) 226-3382
✔ PECOSSame address
Leah Keena, NP
Nurse Practitioner
NPI 1518226471
7916 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 432-2297
✔ PECOS✔ Accepts Medicare1.9 mi
Laura Thomas, NP
Nurse Practitioner
NPI 1144573890
7910 W JEFFERSON BLVD STE 120
Fort Wayne, IN 46804
(260) 435-7612
✔ PECOS✔ Accepts Medicare1.9 mi
Ann Moore, D.O.
Geriatric Medicine
NPI 1194705269
800 BROADWAY SUITE 115
Fort Wayne, IN 46802
(260) 425-3636
✔ PECOS✔ Accepts Medicare7.9 mi
Elizabeth Weber, NP-C, CNRN, SCRN
Nurse Practitioner
NPI 1184886509
1010 W WASHINGTON CENTER RD
Fort Wayne, IN 46825
(419) 725-1938
✔ PECOS✔ Accepts Medicare10.0 mi
Jennifer Littke, AGPCNP-BC
Nurse Practitioner
NPI 1922470970
3005 E STATE BLVD
Fort Wayne, IN 46805
(260) 267-9498
✔ PECOS✔ Accepts Medicare11 mi
Dustin Petersen, M.D.
General Practice
NPI 1265661383
11141 PARKVIEW PLAZA DR STE 305
Fort Wayne, IN 46845
(260) 266-8900
✔ PECOS✔ Accepts Medicare15 mi
Frederica Nodine, NP-C
Nurse Practitioner
NPI 1316176258
360 N MAIN ST SUITE E
Bluffton, IN 46714
(260) 353-3375
✔ PECOS✔ Accepts Medicare21 mi
Debra Fiechter, RN, FNP
Nurse Practitioner
NPI 1437491925
265 W WATER ST
Berne, IN 46711
(260) 589-8598
✔ PECOS✔ Accepts Medicare31 mi
Kristine Davis, FNP-BC, FNP-C
Nurse Practitioner
NPI 1275916264
2222 RIETH BLVD STE 100
Goshen, IN 46526
(574) 875-1200
✔ PECOS51 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0357944

Visiting Nurse & Hospice Home · Fort Wayne, IN
Active · expires Aug 31, 2028
CLIA Number15D0357944
Laboratory TypeHospice
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorLeslie Friedel
Laboratory Phone(260) 435-3222
Laboratory LocationVisiting Nurse & Hospice Home5910 Homestead Rd, Fort Wayne, IN 46814
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Visiting Nurse And Hospice Home Inc's NPI number?

The NPI number for Visiting Nurse And Hospice Home Inc is 1083751002. It was assigned to this organization in the NPPES registry on January 31, 2007. The provider is doing business as Stillwater Hospice.

Where is Visiting Nurse And Hospice Home Inc located?

Visiting Nurse And Hospice Home Inc is located at 5910 Homestead Rd, Fort Wayne, IN 46814. The listed phone number is (260) 435-3222.

What is Visiting Nurse And Hospice Home Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Visiting Nurse And Hospice Home Inc enrolled in Medicare?

Yes. Visiting Nurse And Hospice Home Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Visiting Nurse And Hospice Home Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Visiting Nurse And Hospice Home Inc. 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. The largest specialties are Nurse Practitioner (8), Family Practice (1) and General Practice (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Visiting Nurse And Hospice Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0357944) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Visiting Nurse And Hospice Home Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Visiting Nurse And Hospice Home Inc 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 Visiting Nurse And Hospice Home Inc was last updated on June 23, 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.