QHG OF FORT WAYNE COMPANY LLC
NPI 1619918026
General Practice in Fort Wayne, IN

Active since June 08, 2006
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 458-3843(260) 637-1601 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2024, Nov 6, 2023 (2 updates tracked since 2023).

About Qhg Of Fort Wayne Company Llc NPPES

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

QHG OF FORT WAYNE COMPANY LLC (NPI 1619918026) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since June 2006. The organization lists Kristina Music, Director, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1619918026
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameQHG OF FORT WAYNE COMPANY LLC
Location Address7333 W JEFFERSON BLVDFort Wayne, IN 46804-6280
Mailing AddressPo Box 689022Franklin, TN 37068-9022
Fax(260) 637-1601
Organization SubpartNo
Authorized OfficialKristina MusicDirector, Provider Enrollment · (615) 465-7377
Enumeration DateJune 8, 2006
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1619918026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysical TherapistTaxonomy 225100000X
7333 W JEFFERSON BLVD, Fort Wayne, IN 46804

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Qhg Of Fort Wayne Company Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040429000830Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Qhg Of Fort Wayne Company LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1891049086
7333 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 435-7560
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245850106
7333 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 435-7334
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134730427
7333 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 458-3830
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1982648895
7333 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 435-7334
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811276751
7916 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 432-2297
✔ PECOS1.0 mi
Family Practice
NPI 1407894611
315 E COOK RD
Fort Wayne, IN 46825
(260) 458-3800
✔ PECOS8.7 mi
Nurse Practitioner
NPI 1447776349
1316 E 7TH ST STE 4
Auburn, IN 46706
(260) 920-2000
✔ PECOS✔ Accepts Medicare25 mi

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 Qhg Of Fort Wayne Company LLC's NPI number?

The NPI number for Qhg Of Fort Wayne Company LLC is 1619918026. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is Qhg Of Fort Wayne Company LLC located?

Qhg Of Fort Wayne Company LLC is located at 7333 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 458-3843.

What is Qhg Of Fort Wayne Company LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Qhg Of Fort Wayne Company LLC enrolled in Medicare?

Yes. Qhg Of Fort Wayne Company LLC is registered in the Medicare PECOS enrollment system.

When is Qhg Of Fort Wayne Company LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Qhg Of Fort Wayne Company LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Qhg Of Fort Wayne Company 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 Nurse Practitioner (5) and Family Practice (2). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Qhg Of Fort Wayne Company LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Qhg Of Fort Wayne Company 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 Qhg Of Fort Wayne Company LLC was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.