Individual ProviderEmily Nicole HockemeyerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address538 E Dupont Rd, Fort Wayne, IN 46825-2052(260) 203-9961PECOS EnrollmentBased on the most recent information from CMS, provider Emily Nicole Hockemeyer 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 2 days ago.Profile DetailsProvider ID1881207983Provider TypeIndividualFull NameHockemeyer, Emily NicoleGenderFemaleSole ProprietorYesEnumeration Date8/28/2020Last Updated10/10/2023Contact InformationPractice LocationPractice Address538 E Dupont Rd, Fort Wayne, IN 46825-2052Phone(260) 203-9961FaxUnlisted FaxMailing LocationMailing Address1630 Tilden Ave, Fort Wayne, IN 46805-5249PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71011278AIndiana