Indiana Advanced Psychiatry
NPI 1861253742ActiveOrganization· Psychiatry & Neurology, Psychiatry· Fort Wayne, IN
Psychiatry & Neurology, Psychiatry in Fort Wayne, Indiana, registered in NPPES in January 2024. The authorized official on file is Donnelle Bacon, Rcm Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861253742 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2024 |
| Last updated in NPPES | Feb 9, 2026 |
| Certified by provider | Feb 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
Other Psychiatry & Neurology, Psychiatry providers in Fort Wayne
- 1023233939
- 1427148782
- 1477722197
- 1326981614
- 1932962537
- 1407166077
- 1578583910
- 1194913228
- 1013072180
- 1528865177
- 1023916004
- 1184292054
All Psychiatry & Neurology, Psychiatry providers in Indiana →