Look up the most recent NPI and PECOS records

Abbey K. Bunnell

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133

PECOS Enrollment

This provider is enrolled in PECOS as ABBEY BUNNELL.

Based on the most recent information from CMS, provider Abbey K. Bunnell 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
1841721735
Provider Type
Individual
Full Name
Bunnell, Abbey K.
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/23/2017
Last Updated
3/23/2017

Contact Information

Practice Location

7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133

(260) 436-8686

(260) 436-8585

Mailing Location

PO Box 2526, Fort Wayne, IN 46801-2526

(260) 436-8686

(260) 436-8585

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 71006989A Indiana

Abbey K. Bunnell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mauger, Beverly Lynn

Preece, Billy Ray

Brown, Justin D.

Powell, Jana K.

Weiseman, Alyssa Nicole

Fountain, Pamela Kinder

Adams-Hayes, Susan M

Royce, Hope E.

Kaiser, Taryn Donnell

Ambush, Maria