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

Justin Blaine Heyrend, CRNA

Individual provider Registered Nurse · NPI 1316555246

Justin Blaine Heyrend, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Clinical Colleagues Inc, a 173-clinician group. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

10315 Dawsons Creek Blvd Ste AB
Fort Wayne, IN 46825-1912
Phone: (260) 436-7875
Fax: (260) 432-9812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 28260685A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28260685A (IN)

Record details

NPI number1316555246
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESMay 18, 2023
Certification dateSeptember 23, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Clinical Colleagues Inc — 173 clinicians
Accepts Medicare assignment Not indicated

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