Mrs Virginia L Nider, NP | |
1234 E Dupont Rd Ste 1, Fort Wayne, IN 46825-1545 | |
(260) 266-6060 | |
(260) 425-6395 |
Full Name | Mrs Virginia L Nider |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1234 E Dupont Rd Ste 1, Fort Wayne, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609124940 | NPI | - | NPPES |
201211560 | Medicaid | IN | |
P01307605 | Other | IN | MEDICARE RR PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | A0412039 (Ohio) | Secondary |
363L00000X | Nurse Practitioner | 71004830A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Radiology Pc | 0143295410 | 78 |
Entity Name | Summit Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073584587 PECOS PAC ID: 0143295410 Enrollment ID: O20040831000152 |
Entity Name | Community Physicians Of Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Mrs Virginia L Nider, NP 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Mrs Virginia L Nider, NP 1234 E Dupont Rd Ste 1, Fort Wayne, IN 46825-1545 Ph: (260) 266-6060 |
Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911 | |
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275 | |
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672 | |
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077 | |
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196 | |
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455 | |
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065 |