MRS. REBECCA ELLEN WAUGH (MSN, FNP-C) – General Practice Registered Nurse, NPI 1962888677
General Practice Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for MRS. REBECCA ELLEN WAUGH (MSN, FNP-C)
7950 W Jefferson Blvd
Fort Wayne, IN 468044140
Phone: (260) 435-2699
Type: Location
2520 E DuPont Rd
Fort Wayne, IN 468251675
Phone: (260) 416-3000
Type: Location
701 W TALMER AVE
NORTH JUDSON, IN 463661335
Phone: (574) 896-5533
Fax: (574) 896-5218
Type: Mailing
414 LANE ST
NORTH JUDSON, IN 463661226
Phone: (574) 896-3444
Type: Location
5450 E 425 N
MEDARYVILLE, IN 479578514
Phone: (574) 603-0067
Type: Mailing
1201 Pleasant Valley Rd
Owensboro, KY 423039811
Phone: (270) 417-5911
Fax: (270) 417-6497
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-12-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20150825005093 | I | Nurse Practitioner | IN | TBD |
| I20230828003118 | I | Nurse Practitioner | NY | TBD |
| I20251222003599 | I | Nurse Practitioner | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IN | 85610 | Blood test, clotting time | 165 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Emergency Medicine | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Critical Care (Intensivists), Nephrology | IN | |
| Hospitalist, Internal Medicine | IN | |
| Emergency Medicine, Pathology | IN | |
| Emergency Medicine | IN | |
| Pulmonary Disease, Internal Medicine | IN | |
| Orthopedic Surgery | IN |
Reviews
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