Individual ProviderKatelyn C. FerrierNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7952 W Jefferson Blvd, Fort Wayne, IN 46804-4140(260) 435-2836(260) 479-3515PECOS EnrollmentBased on the most recent information from CMS, provider Katelyn C. Ferrier does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1093142218Provider TypeIndividualFull NameFerrier, Katelyn C.CredentialNPGenderFemaleSole ProprietorNoEnumeration Date10/2/2013Last Updated1/18/2017Contact InformationPractice LocationPractice Address7952 W Jefferson Blvd, Fort Wayne, IN 46804-4140Phone(260) 435-2836Fax(260) 435-7585Mailing LocationMailing Address6920 Pointe Inverness Way Ste 200, Medpartners, Attn: Megan Fortney, Fort Wayne, IN 46804-7934Phone(260) 479-3515Fax(260) 479-3520Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71004682AIndianaProvider IdentifiersIDDescriptionIssuerID201201910DescriptionMedicaidIssuerUnlistedIndiana