CLINICAL SERVICES, LLC
NPI 1770725244
Clinic/Center - Primary Care in Fort Wayne, IN

Active since March 30, 2009
2315 BROADWAY, FORT WAYNE, IN 46807(260) 458-8414(260) 458-8414 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clinical Services, Llc NPPES

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

CLINICAL SERVICES, LLC (NPI 1770725244) is a healthcare organization registered as a primary care in Fort Wayne, Indiana and active in the NPI registry since March 2009. The organization lists Rosie T. Milner, President, as its authorized official.

NPPES Registry Identity

NPI1770725244
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLINICAL SERVICES, LLC
Location Address2315 BROADWAYFort Wayne, IN 46807-1103
Mailing Address2315 BroadwayFort Wayne, IN 46807-1103 · (260) 458-8414 · Fax (260) 458-8414
Fax(260) 458-8414
Organization SubpartNo
Authorized OfficialRosie T. MilnerPresident · (260) 458-8414
Enumeration DateMarch 30, 2009
✔ NPI 1770725244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IN · 71000514A
2315 BROADWAY, Fort Wayne, IN 46807

Other Identifiers 2

Medicare UPINP28828IN
Medicare PINTB5650IN

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)

Clinical Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Clinical Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1831252592
2315 BROADWAY
Fort Wayne, IN 46807
(260) 458-8414
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1679736367
7662 US 31 S
Indianapolis, IN 46227
(317) 494-6563
✔ PECOS✔ Accepts Medicare110 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 Clinical Services, LLC's NPI number?

The NPI number for Clinical Services, LLC is 1770725244. It was assigned to this organization in the NPPES registry on March 30, 2009.

Where is Clinical Services, LLC located?

Clinical Services, LLC is located at 2315 Broadway, Fort Wayne, IN 46807. The listed phone number is (260) 458-8414.

What is Clinical Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Clinical Services, LLC enrolled in Medicare?

Yes. Clinical Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinical Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clinical Services, LLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clinical Services, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Clinical Services, 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 Clinical Services, LLC was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.