LUANN DEAFENBAUGH (NP) – Nurse Practitioner, NPI 1003058454
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for LUANN DEAFENBAUGH (NP)
1520 Provident Dr
Warsaw, IN 465803291
Phone: (574) 372-3800
Fax: (574) 372-5823
Type: Location
1520, Provident Drive, Warsaw, Kosciusko County, Indiana, 46580, United States
WARSAW, IN 465803291
Phone: (574) 372-3800
Fax: (574) 372-5823
Type: Mailing
PO BOX 749495
ATLANTA, GA 303749495
Phone: (855) 963-2100
Fax: (239) 236-2775
Type: Mailing
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 468044159
Phone: (260) 436-0800
Fax: (260) 483-1911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 92 Open Payments records for all available years, with a total value of $1,753.
Total Amount is formed as General ($1,753) + Research ($0) + Ownership ($0) = $1,753.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($322).
Total Amount
$1,753
General + Research + Ownership
Payments
92
Total payment records
General Amount
$1,753
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090415000693 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 244 | 116 | $0 |
Insurance plans in this area (ZIP 46580)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | DE | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | FL | |
| P A T H O L O G Y | FL | |
| Nurse Practitioner | KS | |
| - | MO | |
| Nurse Practitioner | MD | |
| - | GA | |
| - | FL | |
| Physician Assistant | FL |
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