Look up the most recent NPI and PECOS records

Brittney L Hetrick

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7900 W Jefferson Blvd Ste 202, Fort Wayne, IN 46804-4128

PECOS Enrollment

This provider is enrolled in PECOS as BRITTNEY HETRICK.

Based on the most recent information from CMS, provider Brittney L Hetrick is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1316513146
Provider Type
Individual
Full Name
Hetrick, Brittney L
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
6/2/2021
Last Updated
8/14/2024

Contact Information

Practice Location

7900 W Jefferson Blvd Ste 202, Fort Wayne, IN 46804-4128

(260) 435-4730

(260) 435-4731

Mailing Location

6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934

(260) 479-3514

(260) 479-3520

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 71011173A Indiana

Brittney L Hetrick

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Grimshaw, John

Neumann, Kailey

Hayes, Kalie M.

Flack, Abigail

Tannehill, Deborah S.

Evans-Seibert, Andrea J.

Staddon, Dana L

Dantzer, Brandy M.

Price, Carrie B

Ambush, Maria