CREDO HEALTH GROUP, LLC
NPI 1407203672
Family Medicine in Fort Wayne, IN
About Credo Health Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREDO HEALTH GROUP, LLC (NPI 1407203672), doing business as Credo Family Medicine, is a healthcare organization registered as a family medicine in Fort Wayne, Indiana and active in the NPI registry since May 2016. The organization lists Andrew J. Mullally, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Credo Health Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Credo Health Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Credo Health Group, LLC's NPI number?
The NPI number for Credo Health Group, LLC is 1407203672. It was assigned to this organization in the NPPES registry on May 18, 2016. The provider is doing business as Credo Family Medicine.
Where is Credo Health Group, LLC located?
Credo Health Group, LLC is located at 10050 Auburn Park Dr, Fort Wayne, IN 46825. The listed phone number is (260) 432-6459.
What is Credo Health Group, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Credo Health Group, LLC enrolled in Medicare?
Yes. Credo Health Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Credo Health Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Credo Health Group, LLC. A 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 the clinician's services. The largest specialties are Family Practice (4) and Nurse Practitioner (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Credo Health Group, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Credo Health Group, LLC 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 Credo Health Group, LLC was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Credo Health Group, Llc · NPI 1407203672
Family Medicine organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since May 18, 2016.
## Identity
- **NPI:** 1407203672 (Entity type: Organization)
- **Enumerated:** May 18, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Credo Family Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Andrew Mullally, OWNER
## Practice location
- **Address:** 10050 AUBURN PARK DR, Fort Wayne, IN 46825-2389
- **Phone:** (260) 432-6459 · **Fax:** (260) 240-5284
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Nurse Practitioner (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407203672) · Data from the CMS NPPES public registry.