EMILY HINKLE NORTHERN MD
NPI 1194311316
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Q: What is Emily Hinkle Northern's NPI number?

The NPI number for Emily Hinkle Northern is 1194311316. It was assigned to this individual provider in the NPPES registry on December 13, 2020.

Q: What is Emily Hinkle Northern's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since December 13, 2020PECOS Enrolled

2200 RANDALLIA DR, FORT WAYNE, IN 46805(417) 376-2226 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, Jun 24, 2024, Dec 13, 2020 (3 updates tracked since 2020).

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About Emily Hinkle Northern Md NPPES

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

EMILY HINKLE NORTHERN MD (NPI 1194311316) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194311316

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameEMILY HINKLE NORTHERNCredential: MD

Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638

Mailing Address2200 Randallia Dr, Attn: Julie Cogley-pifkoFort Wayne, IN 46805 · (417) 376-2226

Phone(417) 376-2226

Sole ProprietorNo

Enumeration DateDecember 13, 2020

Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration

NPPES CertifiedAugust 16, 2024

✔ NPI 1194311316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 11023648A (IN)

2200 RANDALLIA DR, Fort Wayne, IN 46805

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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)

Emily Hinkle Northern Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MALLIKA GYAWALI MD

Internal Medicine