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

Jennifer Carol Littke, AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1922470970

Jennifer Carol Littke, AGPCNP-BC is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2015, 11 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2015
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3005 E State Blvd
Fort Wayne, IN 46805-4736
Phone: (260) 267-9498
Fax: (260) 739-3618
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 6326 Constitution Dr, Fort Wayne, IN 46804-1518 — (260) 515-3275

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71006191A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71006191A (IN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 28137871A (IN)

Record details

NPI number1922470970
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedOctober 28, 2015
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Wayne