Individual ProviderCaylie CappelliNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1234 E Dupont Rd Ste 3, Fort Wayne, IN 46825-1545(260) 425-5970PECOS EnrollmentBased on the most recent information from CMS, provider Caylie Cappelli 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 ID1992438147Provider TypeIndividualFull NameCappelli, CaylieCredentialNPGenderFemaleSole ProprietorNoEnumeration Date7/6/2022Last Updated3/23/2023Contact InformationPractice LocationPractice Address1234 E Dupont Rd Ste 3, Fort Wayne, IN 46825-1545Phone(260) 425-5970Fax(260) 673-6599Mailing LocationMailing Address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71012948AIndianaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense28195283AIndiana