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

Stacie Stauffer

Individual provider Registered Nurse · NPI 1477055804

Stacie Stauffer is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2017, 9 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone: (260) 266-5230
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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 71007874A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28183206A (IN)

Record details

NPI number1477055804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 1, 2018
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Wayne