Nikki Joy Mann
ADVANCED CARE CONNECTIONS LLC


Address: 3010 Independence Dr, Fort Wayne, IN 46808-1328
Phone: 2607395821

Nikki Joy Mann (NPI# 1336278753, PAC ID# 3375649254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1336278753
PAC ID by PECOS 3375649254
Professional Enrollment ID I20070509000748
Full Name Nikki Joy Mann
Organization Legal Name ADVANCED CARE CONNECTIONS LLC
Address 3010 Independence Dr
Fort Wayne
IN 46808-1328
Phone Number 2607395821
Gender F
Credential NP
Graduation Year 2007
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5799080511
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150021 PARKVIEW REGIONAL MEDICAL CENTER
150091 PARKVIEW HUNTINGTON HOSPITAL
150017 LUTHERAN HOSPITAL OF INDIANA

Other Locations

Address Phone Organization
3010 Independence Dr, Fort Wayne, IN 46808-1328 2607395821 ADVANCED CARE CONNECTIONS LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name ADVANCED CARE CONNECTIONS LLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Linzie Howard Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328
Melissa Sue Ottenweller Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328
Christa J Wall Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328

Office Location

Street Address 3010 INDEPENDENCE DR
City FORT WAYNE
State IN
Zip 46808-1328

Physicians in the same location

Name Specialty Organization Address
Linzie Howard Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328
Melissa Sue Ottenweller Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328
Christa J Wall Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328

Physicians in the same zip code

Name Specialty Organization Address
Tammy L. Truijens Psychologist, Clinical The Otis R Bowen Center for Human Services Inc 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Kelly Ann Baumgarden Psychologist, Clinical The Otis R Bowen Center for Human Services Inc 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Scott J Mcalister Clinical Social Worker The Otis R Bowen Center for Human Services Inc 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Amber Marie Butler Clinical Social Worker The Otis R Bowen Center for Human Services Inc 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Rachel E Roberts Clinical Social Worker The Otis R Bowen Center for Human Services Inc 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Danielle F Teel Optometry Teel Family Eye Care 5110 Value Dr, Fort Wayne, IN 46808-4048

Competitor

Search similar physicians

City FORT WAYNE
Zip Code 46808
Specialty NURSE PRACTITIONER
City + Specialty FORT WAYNE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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