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

Jenna Rae Smith

Individual provider Urology Registered Nurse · NPI 1720838816

Jenna Rae Smith is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2024, 2 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

11141 Parkview Plaza Dr Ste 320
Fort Wayne, IN 46845-1714
Phone: (260) 425-5400
Fax: (260) 425-5417
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71015347A (IN)
Urology Registered Nurse Taxonomy 163WU0100X · Licence 28209700A (IN)

Record details

NPI number1720838816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2024
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 specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Fort Wayne