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

Mustafa Moshref

Individual provider Nurse Practitioner · NPI 1659754448

Mustafa Moshref is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2014, 12 years ago. Practices with Emergency Professionals of Indiana PC, a 120-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2015
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Practice location Address checks out

7333 W Jefferson Blvd
Fort Wayne, IN 46804-6280
Phone: (260) 458-3830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 702 Van Buren St, Fort Wayne, IN 46802-3697 — (260) 425-3000
  • 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 — (260) 435-2699
  • 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 — (260) 416-3000
  • 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 — (260) 266-5370

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71005352A (IN)

Record details

NPI number1659754448
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2015
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address1234 E Dupont Rd, Suite 1, Fort Wayne, IN 46825-1545

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 Emergency Professionals Of Indiana Pc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Wayne