KRISTA THORNBERRY PMHNP-BC
NPI 1710347059
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since February 29, 2016PECOS EnrolledAccepts Medicare Assignment
2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 344-4035(260) 969-9272 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2020, Oct 15, 2019, May 10, 2016 and 1 more (4 updates tracked since 2016).

About Krista Thornberry Pmhnp-bc NPPES

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

KRISTA THORNBERRY PMHNP-BC (NPI 1710347059) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (71007032A) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2015).

NPPES Registry Identity

NPI1710347059
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTA THORNBERRYCredential: PMHNP-BC
Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638
Mailing Address6435 W Jefferson Blvd Pmb 109Fort Wayne, IN 46804-6203 · (260) 344-4035 · Fax (260) 969-9272
Fax(260) 969-9272
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2015
Enumeration DateFebruary 29, 2016
Last NPPES UpdateAugust 5, 20204 updates tracked since enumeration
NPPES CertifiedAugust 5, 2020
✔ NPI 1710347059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in IN · 71007032A✔ Licensed in OH · RN.372896
2200 RANDALLIA DR, Fort Wayne, IN 46805

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krista Thornberry Pmhnp-bc 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 ID1052602158
PECOS Enrollment IDI20220506002201, I20220714003292, I20240130001692, I20240620001007, I20260107000288, I20260501000935
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Krista Thornberry reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
6435 W JEFFERSON BLVD, PMB 109
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Hospital Care Group PC
  • 50 clinicians in this Medicare group
Family Medicine
1507 DOCTORS CT
Watertown, WI 53094
  • Reassigned Medicare billing, Wisconsin enrollment
  • 215 clinicians in this Medicare group
Psychiatry
4488 ROSLIN RD
Newburgh, IN 47630
  • Reassigned Medicare billing, Indiana enrollment
  • 41 clinicians in this Medicare group
Medicare Defined Swing Bed Unit
711 W ADAMS ST
Black River Falls, WI 54615
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1811940331 (Wisconsin)
  • 227 clinicians in this Medicare group
General Acute Care Hospital
1801 HICKMAN RD
Des Moines, IA 50314
  • Reassigned Medicare billing, Iowa enrollment
  • 518 clinicians in this Medicare group
Adult Mental Health
1501 42ND ST STE 120
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa, Massachusetts, Missouri, North Dakota, Washington and Wisconsin enrollments
  • Also billed through NPI 1740841188 (Wisconsin)
  • 61 clinicians in this Medicare group
Psychiatry
1 HEALTHY WAY
Oceanside, NY 11572
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
Family Medicine
25 MARSTON ST STE 301
Lawrence, MA 01841
  • Reassigned Medicare billing, Massachusetts enrollment
  • 305 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
27 services25 patients

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.

Internal Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Pediatrics (Neonatal-Perinatal Medicine)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Registered Nurse
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Student in an Organized Health Care Education/Training Program
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Nurse Practitioner
2200 RANDALLIA DR
FORT WAYNE, IN 46805

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 Krista Thornberry's NPI number?

The NPI number for Krista Thornberry is 1710347059. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Krista Thornberry located?

Krista Thornberry practices at 2200 Randallia Dr, Fort Wayne, IN 46805. The listed phone number is (260) 344-4035.

What is Krista Thornberry's specialty?

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

Is Krista Thornberry enrolled in Medicare?

Yes. Krista Thornberry 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.

Which organizations bill Medicare for Krista Thornberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Thornberry reassigns Medicare benefits to 8 organizations: Hospital Care Group, P.C. (Fort Wayne, IN), Watertown Physician Practices LLC (Watertown, WI), Brentwood Meadows Physician Group LLC (Newburgh, IN), Black River Health Inc (Black River Falls, WI), Broadlawns Medical Center (Des Moines, IA) and 3 more organizations, listed in the Medicare section above. Each 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 Krista Thornberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krista Thornberry accept?

Health plans from CareSource, CareSource (Common Ground Healthcare), Cigna Healthcare, Dean Health Plan and Oscar Health and 3 other insurers list Krista Thornberry 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 Krista Thornberry was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.