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

Susan Eileen Bailey, CNP

Individual provider Family Nurse Practitioner · NPI 1124540455

Susan Eileen Bailey, CNP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2017, 9 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
9
Licensed in
IN, OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

3005 E State Blvd
Fort Wayne, IN 46805-4736
Phone: (260) 267-9498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71007587A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0038282 (OH)

Record details

NPI number1124540455
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 7, 2017
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address3005 E State Blvd, Fort Wayne, IN 46805-4736

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 Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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