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

Active since January 19, 2026PECOS EnrolledAccepts Medicare Assignment
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: November 01, 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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jany Perez Pedraza Arnp 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 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.

Medicare Billing Reassignment

Medicare enrollment records show Jany Perez Pedraza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
3919 W JEFFERSON BLVD STE 1
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 5 clinicians in this Medicare group

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

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.

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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jany Perez Pedraza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jany Perez Pedraza reassigns Medicare benefits to Jefferson Park Pediatrics P C (Fort Wayne, IN). The 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 Jany Perez Pedraza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jany Perez Pedraza accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jany Perez Pedraza 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 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 4 months 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.