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

Stacey Renee Pulver, MSNFNP-C

Individual provider Family Nurse Practitioner · NPI 1518566397

Stacey Renee Pulver, MSNFNP-C is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Rp Care LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6326 Constitution Dr
Fort Wayne, IN 46804-1518
Phone: (260) 615-2219
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 28116605A (IN)

Record details

NPI number1518566397
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNFNP-C
Sole proprietorYes
NPI enumeratedOctober 22, 2020
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rp Care Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne