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

Dr. Jacquelyn Geraldine Small, DO

Individual provider Family Medicine Physician · NPI 1225694102

Dr. Jacquelyn Geraldine Small, DO is a Family Practice in Fort Wayne, Indiana. Graduated from Michigan State University College of Osteopathic Medicine in 2019, 7 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
7
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
IN, MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3909 New Vision Dr
Fort Wayne, IN 46845-1725
Phone: (260) 469-6610
Fax: (260) 969-3065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02007766A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101025847 (MI)

Record details

NPI number1225694102
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 15, 2019
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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