Jillian Ann Hacker , ATC
Specialist/Technologist - Athletic Trainer β’ Fort Wayne, IN
3946 Ice Way
Fort Wayne, IN 468051018
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
3946 Ice Way
Fort Wayne, IN 468051018
What Public CMS Data Show
Specialist/Technologist - Athletic Trainer: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Fort Wayne and Indiana
189 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Fort Wayne, IN (1,588 in Indiana).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fort Wayne
0% of these 189 clinicians have the CMS telehealth indicator.
0% of these 189 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-08-22NUCC Taxonomy Code: 2255A2300X
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant (Certified), Licensed Athletic Trainer, Certified Athletic Trainer
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Physical Therapist
Physical Therapist, Doctor of Physical Therapy
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3946 ICE WAY, FORT WAYNE, IN 468051018 (Tel: 2604442788)
Registered at 8813 GULF DR APT B, FORT WAYNE, IN 468253092 (Tel: 7655247455)
Recorded as JILLIAN HACKER, ATC
Specialist/Technologist (license number reported to NPPES: IN 36003377A)
NPI status registered as active in NPPES database
Registered at 435 N 5TH ST, PHOENIX, AZ 850042157 (Tel: 6028272450)
Registered at 200 E FILLMORE ST APT 247, PHOENIX, AZ 850042116 (Tel: 7655247455)
Recorded as JILLIAN HACKER
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
8813 Gulf Dr Apt B
Fort Wayne, IN 468253092
Phone: 7655247455