FORT WAYNE NEUROPSYCHOLOGY LLC
NPI 1871032862
Clinical Neuropsychologist in Fort Wayne, IN
About Fort Wayne Neuropsychology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORT WAYNE NEUROPSYCHOLOGY LLC (NPI 1871032862) is a healthcare organization registered as a clinical neuropsychologist in Fort Wayne, Indiana and active in the NPI registry since February 2017. The organization lists Tasha H. Williams, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Fort Wayne Neuropsychology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Fort Wayne Neuropsychology LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Fort Wayne Neuropsychology LLC's NPI number?
The NPI number for Fort Wayne Neuropsychology LLC is 1871032862. It was assigned to this organization in the NPPES registry on February 23, 2017.
Where is Fort Wayne Neuropsychology LLC located?
Fort Wayne Neuropsychology LLC is located at 4306 E State Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 460-3100.
What is Fort Wayne Neuropsychology LLC's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Fort Wayne Neuropsychology LLC enrolled in Medicare?
Yes. Fort Wayne Neuropsychology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fort Wayne Neuropsychology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Fort Wayne Neuropsychology 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 Clinical Psychologist (6), Clinical Social Worker (2) and Qualified Speech Language Pathologist (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fort Wayne Neuropsychology LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Fort Wayne Neuropsychology 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 Fort Wayne Neuropsychology LLC was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Fort Wayne Neuropsychology Llc · NPI 1871032862
Clinical Neuropsychologist organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since February 23, 2017.
## Identity
- **NPI:** 1871032862 (Entity type: Organization)
- **Enumerated:** February 23, 2017
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Organization subpart:** No
- **Authorized official:** Tasha Williams, VICE PRESIDENT
## Practice location
- **Address:** 4306 E STATE BLVD, Fort Wayne, IN 46815-6915
- **Phone:** (260) 460-3100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (6), Clinical Social Worker (2), Qualified Speech Language Pathologist (1); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1871032862) · Data from the CMS NPPES public registry.