KARA A HENRY – Nurse Practitioner, NPI 1184100596

KARA A HENRY is a healthcare provider. based in Fort wayne, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 71008154A (IN). The NPI Number for KARA A HENRY is 1184100596

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KARA A HENRY
NPI
1184100596
Phone
(260) 483-9081
Address
3512 STELLHORN RD
Enumeration Date
18 July 2018
Last Update Date
26 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2605153275
Graduation Year
2018 (8 years ago)
PAC ID
4082962089
Group Practice PAC ID
9234424813
Professional Enrollment ID
I20180808001060
Address ID
IN468041518FO6326XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

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Provider Addresses for KARA A HENRY

  • 3512, Stellhorn Road, Fort Wayne, Allen County, Indiana, 46815, United States

    FORT WAYNE, IN 468154631

    Phone: (260) 483-9081

    Fax: (260) 483-9196

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Mylan Specialty L.P. ($50).

Total Amount

$117

General + Research + Ownership

Payments

6

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180808001060INurse PractitionerINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46815)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234424813View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is KARA A HENRY's NPI number?
KARA A HENRY's NPI is 1184100596 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KARA A HENRY?
For scheduling context, KARA A HENRY is shown as active in the registry.
What area of care is associated with KARA A HENRY?
KARA A HENRY's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KARA A HENRY?
Directory geography for KARA A HENRY centers on Fort Wayne, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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