Individual ProviderGina YarnallNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6326 Constitution Dr, Fort Wayne, IN 46804-1518(260) 515-3275PECOS EnrollmentBased on the most recent information from CMS, provider Gina Yarnall 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 ID1841659299Provider TypeIndividualFull NameYarnall, GinaCredentialNP-CGenderFemaleSole ProprietorNoEnumeration Date2/14/2016Last Updated2/14/2016Contact InformationPractice LocationPractice Address6326 Constitution Dr, Fort Wayne, IN 46804-1518Phone(260) 515-3275Fax(888) 803-6843Mailing LocationMailing Address6326 Constitution Dr, Fort Wayne, IN 46804-1518Phone(260) 515-3275Fax(888) 803-6843Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense28158550AIndiana