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

Michelle Bock

Individual provider Family Nurse Practitioner · NPI 1124423165

Michelle Bock is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2014, 12 years ago. Practices with American Oncology Partners PA, a 383-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2514 E Dupont Rd Ste 100
Fort Wayne, IN 46825-1619
Phone: (260) 484-8830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71005186A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71005186A (IN)

Record details

NPI number1124423165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2014
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024
Mailing addressPo Box 749495, Atlanta, GA 30374-9495

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice American Oncology Partners Pa — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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