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

Milissa C. Phillips-Bohlender, NP

Individual provider Family Nurse Practitioner · NPI 1164474045

Milissa C. Phillips-Bohlender, NP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2001, 25 years ago. Practices with Summit Radiology P C, a 102-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
25
Licensed in
IN
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7900 W Jefferson Blvd Ste 306
Fort Wayne, IN 46804-4128
Phone: (260) 458-3610
Fax: (260) 458-3611
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71001697A (IN)

Record details

NPI number1164474045
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Summit Radiology P C — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Fort Wayne