OrganizationRounding ProvidersNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6326 Constitution Dr, Fort Wayne, IN 46804-1518(650) 924-1174PECOS EnrollmentBased on the most recent information from CMS, provider Rounding Providers 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 ID1538486691Provider TypeOrganizationFull NameRounding ProvidersSubpartNoEnumeration Date4/29/2010Last Updated2/5/2021Contact InformationPractice LocationPractice Address6326 Constitution Dr, Fort Wayne, IN 46804-1518Phone(650) 924-1174FaxUnlisted FaxMailing LocationMailing Address6326 Constitution Dr, Fort Wayne, IN 46804-1518Phone(650) 924-1174FaxUnlisted FaxAuthorized OfficialNameLetz, Kevin L (President)Phone(650) 924-1174Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71001329AIndianaCode363LA2200XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71000749AIndiana