ERICA MARIE JEFFERIES FNP
NPI 1699262014
Nurse Practitioner - Family in Fort Wayne, IN

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment
83.71/100
CMS Quality Rating
6326 CONSTITUTION DR, FORT WAYNE, IN 46804(260) 515-3275 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erica Marie Jefferies Fnp NPPES

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

ERICA MARIE JEFFERIES FNP (NPI 1699262014) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71007925A) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699262014
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA MARIE JEFFERIESCredential: FNP
Location Address6326 CONSTITUTION DRFort Wayne, IN 46804-1518
Mailing Address6326 Constitution DrFort Wayne, IN 46804-1518 · (260) 515-3275
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 20, 2018
NPI 1699262014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71007925A
6326 CONSTITUTION DR, Fort Wayne, IN 46804

Accepted 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

Erica Marie Jefferies Fnp 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 ID6002171139
PECOS Enrollment IDI20180521000926
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 5

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 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.
123 services102 patients
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.
90 services68 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
65 services35 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
23 services20 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services13 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 46804 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.94
Promoting Interoperability95
Improvement Activities40

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.

Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Primary Care)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Social Worker (Clinical)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Adult Health)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804

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 Erica Jefferies's NPI number?

The NPI number for Erica Jefferies is 1699262014. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Erica Jefferies located?

Erica Jefferies practices at 6326 Constitution Dr, Fort Wayne, IN 46804. The listed phone number is (260) 515-3275.

What is Erica Jefferies's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erica Jefferies enrolled in Medicare?

Yes. Erica Jefferies 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.

What insurance does Erica Jefferies accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Erica Jefferies 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.

Is Erica Jefferies affiliated with any hospitals?

According to CMS data, Erica Jefferies is affiliated with Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Erica Jefferies was last updated on April 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.