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

Kaitlyn A Henricks

Individual provider Nurse Practitioner · NPI 1811882095

Kaitlyn A Henricks is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2025, 1 year ago. Practices with Parkview Health System Inc, a 1,336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
1
Licensed in
IN, OH
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

11141 Parkview Plaza Dr Ste 320
Fort Wayne, IN 46845-1714
Phone: (260) 425-5400
Fax: (260) 425-5417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 442 W High St, Bryan, OH 43506-1681 — (419) 636-4517

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71016768A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.0041845 (OH)

Record details

NPI number1811882095
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
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 2025 (1 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Wayne