JANY PEREZ PEDRAZA ARNP
NPI 1154280741
Nurse Practitioner - Family in Fort Wayne, IN

Active since January 19, 2026PECOS Enrolled
3919 W JEFFERSON BLVD STE 2, FORT WAYNE, IN 46804(260) 450-1313(855) 583-3606 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 18, 2026, Jan 19, 2026 (2 updates tracked since 2026).

About Jany Perez Pedraza Arnp NPPES

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

JANY PEREZ PEDRAZA ARNP (NPI 1154280741) is an individual family provider in Fort Wayne, Indiana, licensed in Florida (F12250671) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154280741
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJANY PEREZ PEDRAZACredential: ARNP
Location Address3919 W JEFFERSON BLVD STE 2Fort Wayne, IN 46804-6811
Mailing Address3919 W Jefferson Blvd Ste 2Fort Wayne, IN 46804-6811 · (260) 436-7722 · Fax (855) 583-3606
Fax(855) 583-3606
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 19, 2026
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
NPI 1154280741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in FL · F12250671 Licensed in IN · 71017867A
3919 W JEFFERSON BLVD STE 2, Fort Wayne, IN 46804

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jany Perez Pedraza Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759866403
PECOS Enrollment IDI20260331000989
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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 46804 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.04
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $20.51
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.22
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $23.55
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
3919 W JEFFERSON BLVD STE 2
FORT WAYNE, IN 46804
Physician Assistant
3919 W JEFFERSON BLVD STE 2
FORT WAYNE, IN 46804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154280741, enumerated as an "individual" on January 19, 2026.

The provider is located at 3919 W JEFFERSON BLVD STE 2 FORT WAYNE, IN 46804 and the phone number is (260) 450-1313.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.