Mrs Jessie M Whiteman, FNP-C in Fort Wayne, IN

Mrs Jessie M Whiteman, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eventus Ecs, Inc, Extended Care Specialists, Inc and her current practice location is 11104 Parkview Circle Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 494-3484.

Mrs Jessie M Whiteman is licensed to practice in Indiana (license number 71008138A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073090130.

Contact Information

	Mrs Jessie M Whiteman, FNP-C
	11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672
	(260) 494-3484
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jessie M Whiteman
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	11104 Parkview Circle Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jessie M Whiteman graduated from nursing school in 2018

NPI Data:

NPI Number: 1073090130
Provider Enumeration Date: 07/22/2018
Last Update Date: 08/11/2025

Medicare PECOS Information:

PECOS PAC ID: 3779831946
Enrollment ID: I20180803001042

Medical Identifiers

Medical identifiers for Mrs Jessie M Whiteman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073090130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71008138A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Regional Medical Center	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eventus Ecs, Inc	2163969650	230
Extended Care Specialists, Inc	2466407713	271

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jessie M Whiteman allows following entities to bill medicare on her behalf.

Entity Name	Extended Care Specialists, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726

Entity Name	Rp Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134570104 PECOS PAC ID: 9234424813 Enrollment ID: O20160822000852

Entity Name	Eventus Ecs, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20240801002542

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. Mrs Jessie M Whiteman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jessie M Whiteman, FNP-C 120 W 22nd St, Oak Brook, IL 60523-1557 Ph: (630) 573-5000	Mrs Jessie M Whiteman, FNP-C 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 Ph: (260) 494-3484

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Mr. Justin Michael Garrison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4008 Stanton Dr, Fort Wayne, IN 46815 Phone: 260-760-7753
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455

Mrs Jessie M Whiteman, FNP-C - Medicare Nurse Practitioner in Fort Wayne, IN