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

McKenna A Gottfried

Individual provider Registered Nurse · NPI 1003328592

McKenna A Gottfried is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2017, 9 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Ohio.

Years since qualifying
9
Licensed in
IN, OH
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

3909 New Vision Dr
Fort Wayne, IN 46845-1725
Phone: (260) 425-5500
Fax: (260) 425-5525
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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 71007667A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28194377A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.0036791 (OH)

Record details

NPI number1003328592
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2017
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 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 2017 (9 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Wayne