DANIEL CLAYTON BREWER
NPI 1205497401
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Q: What is Daniel Brewer's NPI number?

The NPI number for Daniel Brewer is 1205497401. It was assigned to this individual provider in the NPPES registry on June 27, 2019. The provider is also known as Dan Clayton Brewer Pmhnp-Bc.

Q: What is Daniel Brewer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Brewer was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment

909 E STATE BLVD, FORT WAYNE, IN 46805(260) 481-2700(260) 481-2838 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Daniel Clayton Brewer NPPES

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

DANIEL CLAYTON BREWER (NPI 1205497401) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (71009110A) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205497401

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDANIEL CLAYTON BREWER

Location Address909 E STATE BLVDFort Wayne, IN 46805-3458

Mailing Address909 E State BlvdFort Wayne, IN 46805-3458 · (260) 481-2700 · Fax (260) 481-2838

Phone(260) 481-2700

Fax(260) 481-2838

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 27, 2019

Last NPPES UpdateJuly 8, 2019

✔ NPI 1205497401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71009110A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28193276A (IN)

909 E STATE BLVD, Fort Wayne, IN 46805

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Other Names 1

Other Name (5)Dan Clayton Brewer Pmhnp-bc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Clayton Brewer 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 ID2860720745

PECOS Enrollment IDI20190830000869

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

105 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

43 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marion General Hospital

Acute Care Hospitals · Marion, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150011

Location441 N Wabash AveMarion, IN 46952 · Grant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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 20

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

COURTNEY LESLEY WASHINGTON

Counselor