Individual ProviderJenna HillenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6326 Constitution Dr, Fort Wayne, IN 46804-1518(574) 201-0774PECOS EnrollmentBased on the most recent information from CMS, provider Jenna Hillen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1275314254Provider TypeIndividualFull NameHillen, JennaCredentialNP-CGenderFemaleSole ProprietorNoEnumeration Date10/6/2023Last Updated10/6/2023Contact InformationPractice LocationPractice Address6326 Constitution Dr, Fort Wayne, IN 46804-1518Phone(574) 201-0774FaxUnlisted FaxMailing LocationMailing Address11537 E Division Rd, Akron, IN 46910-9436Phone(574) 201-0774FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71014450AIndiana