MEDICARE: HEALTH IN FAITH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1417812041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH IN FAITH LLC

Provider Business Mailing Address
First Line	:	9421 ACACIA PSGE
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46835-9101
Country	:	US
Telephone Number	:	260-255-4601
Fax Number	:	260-202-5601

Provider Business Practice Location Address
First Line	:	9421 ACACIA PSGE
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46835-9101
Country	:	US
Telephone Number	:	260-255-4601
Fax Number	:	260-202-5601

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	BERNADETTE GRAY
Credential	:	FNP-BC
Telephone Number	:	260-255-4601

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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Directions to “HEALTH IN FAITH LLC ” Practice Location

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