STACEY RENEE PULVER MSN FNP-C NPI 1518566397

NPI Information

  • NPI: 1518566397
  • Provider Name: STACEY RENEE PULVER, MSN FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6326 CONSTITUTION DR
    FORT WAYNE, IN
    ZIP 46804
  • Phone: (260) 615-2219

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NPI Details

Stacey Renee Pulver, MSN FNP-C is a family nurse practitioner in Fort Wayne, IN with 5 years of experience. Stacey Renee Pulver, MSN FNP-C NPI is 1518566397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6326 CONSTITUTION DR
FORT WAYNE, IN
ZIP 46804-518
Phone: (260) 615-2219

The NPI 1518566397 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Extended inpatient or observation hospital service, first hour (HCPCS:99356)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)

The enumeration date for this NPI number is 10/22/2020 and was last updated on 11/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily28116605AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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