Individual ProviderAmber LeightyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825-1545(260) 266-5260PECOS EnrollmentBased on the most recent information from CMS, provider Amber Leighty 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 2 days ago.Profile DetailsProvider ID1962975508Provider TypeIndividualFull NameLeighty, AmberGenderFemaleSole ProprietorNoEnumeration Date1/7/2019Last Updated10/12/2022Contact InformationPractice LocationPractice Address1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825-1545Phone(260) 266-5260FaxUnlisted FaxMailing LocationMailing Address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71008730AIndiana