JANELL L DOCKTER – Nurse Practitioner, NPI 1265991632

JANELL L DOCKTER is a healthcare provider. based in Fort wayne, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 28168242A (IN). The NPI Number for JANELL L DOCKTER is 1265991632

Main info

Female
8 Years Of Experience
Name
JANELL L DOCKTER
NPI
1265991632
Phone
Not provided
Address
3702 NEW VISION DR BLDG B
Enumeration Date
15 March 2019
Last Update Date
12 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8286810904
Graduation Year
2018 (8 years ago)
PAC ID
5799018263
Group Practice PAC ID
0244769156
Professional Enrollment ID
I20250115003867
Address ID
NC287043864AR3864XRDXX400

Contacts

Secure Messaging
jdockter217839@Direct.Parkviewexchange.com
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

8,192 NURSE PRACTITIONER in IN

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Provider Addresses for JANELL L DOCKTER

  • 3702 NEW VISION DR BLDG B

    FORT WAYNE, IN 468451703

    Phone:

    Type: Mailing

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

  • John Kissinger Drive, Wabash, Wabash County, Indiana, 46992, United States

    WABASH, IN 469921648

    Phone: (260) 563-7421

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-02-06 • Largest payer in this snapshot: ABBVIE INC. ($31).

Total Amount

$175

General + Research + Ownership

Payments

11

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-06

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: 2025-01-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250115003867INurse PractitionerNCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level2017$0
81003Automated urinalysis test1716$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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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: 0244769156View full group profile
NameSpecialtyState
Nurse PractitionerSC
Physician AssistantIL
Nurse PractitionerNC
Family PracticeTX
Nurse PractitionerNC
Nurse PractitionerNC
Family PracticeNC
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerNC

Reviews

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Frequently asked questions

Can I use this page to confirm JANELL L DOCKTER's NPI?
Yes. JANELL L DOCKTER is listed with NPI 1265991632 in the public NPI dataset.
Does the file indicate JANELL L DOCKTER is practicing under active NPI?
Directory data currently reports JANELL L DOCKTER as active.
What is JANELL L DOCKTER's primary classification?
Nurse Practitioner is the headline specialty for JANELL L DOCKTER here. Clinical services aligned with this taxonomy classification.
What address line appears for JANELL L DOCKTER?
JANELL L DOCKTER's geographic hint is Fort Wayne, Indiana in our summary view.
Is the information about JANELL L DOCKTER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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