JENNIFER LYNN KRACIUM (NPI# 1952919524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952919524 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN KRACIUM |
| Other Name | JENNIFER LYNN MYERS |
| Practice Address |
7209 Engle Rd Ste 200 Fort Wayne IN 46804-2238 |
| Mailing Address |
10100 Elida Rd Delphos OH 45833-9056 |
| Practice Telephone | 2604844600 |
| Practice Fax Number | 2604844002 |
| Mailing Telephone | 4196958010 |
| Mailing Fax Number | 4196950004 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
7209 ENGLE RD STE 200 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508087842 | Vanessa Michelle Hogan | Counselor | 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 | 2007-05-02 |
| 1912519562 | Sydney Erin Bayer | Case Manager/Care Coordinator | 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 | 2020-08-17 |
| 1598374530 | Patrick Ryan Rorick | Case Manager/Care Coordinator | 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 | 2020-07-27 |
| 1508474693 | Alexa R Olsen | Case Manager/Care Coordinator | 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 | 2020-07-15 |
| 1992271407 | Danielle Boykin | Case Manager/Care Coordinator | 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 | 2018-10-23 |
| 1932674819 | Megan Shelby Morrow | Case Manager/Care Coordinator | 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 | 2018-10-08 |
| 1326522970 | Kori Jasper | Case Manager/Care Coordinator | 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 | 2018-09-19 |
| 1053895961 | Carina Noldan | Case Manager/Care Coordinator | 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 | 2018-09-18 |
| 1467936286 | Shalesta Bright Peterson | Case Manager/Care Coordinator | 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 | 2018-09-18 |
| 1124501424 | Rebekah Ann Hill | Social Worker | 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 | 2018-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766086 | Jaron Mathews Ford | Case Manager/Care Coordinator | 2710 Northaven Ct, Fort Wayne, IN 46825-7108 | 2020-09-28 |
| 1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
| 1194208348 | Ametria Russell | Case Manager/Care Coordinator | 7209 Engle Rd, Fort Wayne, IN 46804-2238 | 2018-09-13 |
| 1376031674 | Deanna S Lockett | Case Manager/Care Coordinator | 12625 Page Hill Ct, Fort Wayne, IN 46818-0012 | 2018-04-23 |
| 1104247337 | Paytons Place, LLC | Case Manager/Care Coordinator | 409 East Cook Rd, Suite 100, Fort Wayne, IN 46825 | 2013-12-13 |
| 1427324219 | Tonyetta Eley | Case Manager/Care Coordinator | 2419 Shadyoak Dr, Fort Wayne, IN 46806-5329 | 2012-03-27 |
| 1174657480 | Robert Anthony Ford | Case Manager/Care Coordinator | 525 Oxford St., Fort Wayne, IN 46806 | 2007-03-16 |
| 1477635852 | Aids Task Force, Inc. | Case Manager/Care Coordinator | 525 Oxford St, Fort Wayne, IN 46806-4177 | 2006-10-19 |
| 1528665700 | Bryan Patrick Espinosa | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-10-01 |
| 1427655604 | Mark Robert Adang | Case Manager/Care Coordinator | 1825 Beacon St, Fort Wayne, IN 46805-4750 | 2020-10-01 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.