Parkview Wabash Multi-Specialty Physicians' Group – Family Medicine Physician, NPI 1891176590
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Parkview Wabash Multi-Specialty Physicians' Group
1104 N Wayne St
North Manchester, IN 469621001
Phone: (260) 982-2102
Type: Location
8 John Kissinger Drive
Wabash, IN 469921648
Phone: (260) 563-7421
Type: Location
1655 N Cass St
Wabash, IN 469929416
Phone: (260) 569-2302
Type: Location
710 N East St
Wabash, IN 469921914
Phone: (260) 563-3131
Type: Location
10501 CORPORATE DR
FORT WAYNE, IN 468451700
Phone: (260) 373-8406
Type: Mailing
10 JOHN KISSINGER DR.
WABASH, IN 469921648
Phone: (260) 563-3131
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: 2018-11-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (712 days ago).
Enrollment records
1
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20181128002503 | O | Clinic/Group Practice | IN | 2024-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 46962)
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