LAUREN BRIANNE KINNIRY
NPI 1255210472
Nurse Practitioner in Fort Wayne, IN

Active since September 01, 2025PECOS EnrolledAccepts Medicare Assignment
11123 PARKVIEW PLAZA DR STE 102, FORT WAYNE, IN 46845(260) 425-5240(260) 425-5245 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2026, Jan 13, 2026, Jan 8, 2026 and 1 more (4 updates tracked since 2025).

About Lauren Brianne Kinniry NPPES

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

LAUREN BRIANNE KINNIRY (NPI 1255210472) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71017343A) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255210472
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAUREN BRIANNE KINNIRY
Location Address11123 PARKVIEW PLAZA DR STE 102Fort Wayne, IN 46845-1707
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 425-5245
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 1, 2025
Last NPPES UpdateMarch 2, 20264 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1255210472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71017343A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Cardiac RehabilitationTaxonomy 163WC3500X · License 28269061A (IN)
11123 PARKVIEW PLAZA DR STE 102, Fort Wayne, IN 46845

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

Lauren Brianne Kinniry 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 ID2769968270
PECOS Enrollment IDI20260114001715
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.

Hospital Affiliations CMS Care Compare

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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 4

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

Nurse Practitioner
11123 PARKVIEW PLAZA DR STE 102
FORT WAYNE, IN 46845
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
11123 PARKVIEW PLAZA DR STE 102
FORT WAYNE, IN 46845
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
11123 PARKVIEW PLAZA DR STE 102
FORT WAYNE, IN 46845
Nurse Practitioner
11123 PARKVIEW PLAZA DR STE 102
FORT WAYNE, IN 46845

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 Lauren Kinniry's NPI number?

The NPI number for Lauren Kinniry is 1255210472. It was assigned to this individual provider in the NPPES registry on September 1, 2025.

Where is Lauren Kinniry located?

Lauren Kinniry practices at 11123 Parkview Plaza Dr Ste 102, Fort Wayne, IN 46845. The listed phone number is (260) 425-5240.

What is Lauren Kinniry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lauren Kinniry enrolled in Medicare?

Yes. Lauren Kinniry 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.

Is Lauren Kinniry affiliated with any hospitals?

According to CMS data, Lauren Kinniry is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lauren Kinniry was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.