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

Jennifer Carol Littke, AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1922470970

Jennifer Carol Littke, AGPCNP-BC is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2015, 11 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2015
Specialties on file
3

Practice location Address checks out

3005 E State Blvd
Fort Wayne, IN 46805-4736
Phone: (260) 267-9498
Fax: (260) 739-3618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6326 Constitution Dr, Fort Wayne, IN 46804-1518 — (260) 515-3275

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71006191A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71006191A (IN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 28137871A (IN)

Record details

NPI number1922470970
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedOctober 28, 2015
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients133
Services billed 281 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Cleanslate Medical Group of Indiana LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 61 clinicians in the practice; 12 are shown here.

Other providers in Fort Wayne