Individual ProviderTheresa HuffordNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140(765) 751-5405(260) 458-3505PECOS EnrollmentBased on the most recent information from CMS, provider Theresa Hufford 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 ID1336929892Provider TypeIndividualFull NameHufford, TheresaCredentialNPGenderFemaleSole ProprietorNoEnumeration Date10/3/2023Last Updated4/5/2025Contact InformationPractice LocationPractice Address7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140Phone(765) 751-5405FaxUnlisted FaxMailing LocationMailing Address7980 W Jefferson Blvd, Fort Wayne, IN 46804-4170Phone(260) 458-3505FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71014301AIndiana