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

Jennifer L Goranson

Individual provider Nurse Practitioner · NPI 1669009601

Jennifer L Goranson is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
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Practice location Address checks out

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone: (260) 672-6620
Fax: (260) 672-6639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 01086547A (IN)

Record details

NPI number1669009601
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
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 2020 (6 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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