Jacqueline Kay Roman, LPN - Licensed Practical Nurse in Fort Wayne, IN

Jacqueline Kay Roman, LPN is a Licensed Practical Nurse based in Fort Wayne, Indiana. Jacqueline Kay Roman is licensed to practice in Indiana (license number 27037603A) and her current practice location is 2121 Lake Ave, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at (260) 426-5431.

NPI number for Jacqueline Kay Roman is 1629763297 and her current mailing address is 2121 Lake Ave, Fort Wayne, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629763297.

Contact Information

Jacqueline Kay Roman, LPN
2121 Lake Ave,
Fort Wayne, IN 46805-5100
(260) 426-5431
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Kay Roman
GenderFemale
SpecialityLicensed Practical Nurse
Location2121 Lake Ave, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629763297
  • Provider Enumeration Date: 04/10/2023
  • Last Update Date: 04/10/2023

Medical Identifiers

Medical identifiers for Jacqueline Kay Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629763297NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 27037603A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Kay Roman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Kay Roman, LPN
2121 Lake Ave,
Fort Wayne, IN 46805-5100

Ph: (260) 426-5431
Jacqueline Kay Roman, LPN
2121 Lake Ave,
Fort Wayne, IN 46805-5100

Ph: (260) 426-5431

Reviews and Comments


Licensed Practical Nurse Nurses in Fort Wayne, IN

Angela C Despenza, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 909 E State Blvd, Fort Wayne, IN 46805
Phone: 260-481-2700    Fax: 260-481-2717
Tina M Lehman, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 909 E State Blvd, Fort Wayne, IN 46805
Phone: 260-481-2700    Fax: 260-481-2700
Nancy Anne Perry, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805
Phone: 260-426-5431    
Amy Sue Smith, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825
Phone: 260-484-8551    Fax: 260-471-6674
Mrs. Alicia Falk, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 336 S Cornell Cir, Fort Wayne, IN 46807
Phone: 260-385-7444    
Angie Marie High,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4011 Shannon Dr, Fort Wayne, IN 46835
Phone: 260-403-2382    
Roberta D Ingol, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 909 E State Blvd, Fort Wayne, IN 46805
Phone: 260-481-2700    Fax: 260-481-2717

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.