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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: August 09, 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
Phone(260) 450-1313
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
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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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

SAVANNAH E. PLATT NP
Nurse Practitioner (Family)
3919 W JEFFERSON BLVD STE 2
FORT WAYNE, IN 46804
Allen County (260) 436-7722
CAROL BURZON GALICIA PA
Physician Assistant
3919 W JEFFERSON BLVD STE 2
FORT WAYNE, IN 46804
Allen County (260) 436-7722

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 Jany Perez Pedraza's NPI number?

The NPI number for Jany Perez Pedraza is 1154280741. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Where is Jany Perez Pedraza located?

Jany Perez Pedraza practices at 3919 W Jefferson Blvd Ste 2, Fort Wayne, IN 46804. The listed phone number is (260) 450-1313.

What is Jany Perez Pedraza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jany Perez Pedraza enrolled in Medicare?

Yes. Jany Perez Pedraza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jany Perez Pedraza was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.