Individual ProviderKailey NeumannNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6326 Constitution Dr, Fort Wayne, IN 46804-1518(260) 515-3275(260) 336-3063PECOS EnrollmentBased on the most recent information from CMS, provider Kailey Neumann 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 ID1679271738Provider TypeIndividualFull NameNeumann, KaileyGenderFemaleSole ProprietorYesEnumeration Date2/20/2023Last Updated2/20/2023Contact InformationPractice LocationPractice Address6326 Constitution Dr, Fort Wayne, IN 46804-1518Phone(260) 515-3275FaxUnlisted FaxMailing LocationMailing Address6455 S 400 E, Wolcottville, IN 46795-9413Phone(260) 336-3063FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71013572AIndiana