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

Daniel Clayton Brewer

Individual provider Registered Nurse · NPI 1205497401

Daniel Clayton Brewer is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2019, 7 years ago. Practices with Grant-Blackford Mental Health, Inc, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

909 E State Blvd
Fort Wayne, IN 46805-3458
Phone: (260) 481-2700
Fax: (260) 481-2838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71009110A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28193276A (IN)

Record details

NPI number1205497401
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2019
Last updated in NPPESJuly 8, 2019
Mailing address909 E State Blvd, Fort Wayne, IN 46805-3458

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Grant-Blackford Mental Health, Inc. — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Wayne