Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brenna Nicole Grove

Individual provider Physician Assistant · NPI 1326753856

Brenna Nicole Grove is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2023, 3 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
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Practice location Address checks out

10020 Dupont Circle Ct Ste 110
Fort Wayne, IN 46825-1621
Phone: (260) 458-3737
Fax: (260) 458-3734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004112A (IN)

Record details

NPI number1326753856
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 19, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Fort Wayne