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ANNE G W HARLESS NP
NPI 1174073373
Nurse Practitioner - Gerontology in Fort Wayne, IN

Active since October 12, 2016PECOS Enrolled
3512 STELLHORN RD, FORT WAYNE, IN 46815(260) 483-9081(260) 483-9196 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2020, Feb 3, 2020, Jun 18, 2018 and 3 more (6 updates tracked since 2016).

About Anne G W Harless Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNE G W HARLESS NP (NPI 1174073373) is an individual gerontology provider in Fort Wayne, Indiana, licensed in Indiana (71006721A) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pendleton.

NPPES Registry Identity

NPI1174073373
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameANNE G W HARLESSCredential: NP
Location Address3512 STELLHORN RDFort Wayne, IN 46815-4631
Mailing Address214 Pearl StPendleton, IN 46064-1232
Phone(260) 483-9081
Fax(260) 483-9196
Sole ProprietorNo
Enumeration DateOctober 12, 2016
Last NPPES UpdateMarch 16, 20206 updates tracked since enumeration
NPPES CertifiedMarch 16, 2020
✔ NPI 1174073373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IN · 71006721A
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 71006721A (IN)
3512 STELLHORN RD, Fort Wayne, IN 46815
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Secondary Practice Location 1

Location 1214 Pearl StPendleton, IN 46064-1232 · Phone (317) 000-0000

Other Identifiers 2

Medicaid201405200IN
OtherP01751331IN · Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anne G W Harless Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LHYRA DAWIS MAYORALGO PT
Contractor
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
CHANEL JONES NP
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
HAMUTYINEI H MAMUTSE
Nurse Practitioner (Psychiatric/Mental Health)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
ZEINAB HASSAN NP
Nurse Practitioner (Gerontology)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
LINDA ROMINES
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
CORTNEY WILCOX FNP
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
LINDA D WOENKER OT
Occupational Therapist
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
MRS. JODI LYNN GUY FNP-C
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anne Harless's NPI number?

The NPI number for Anne Harless is 1174073373. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Anne Harless located?

Anne Harless practices at 3512 Stellhorn Rd, Fort Wayne, IN 46815. The listed phone number is (260) 483-9081.

What is Anne Harless's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Anne Harless enrolled in Medicare?

Yes. Anne Harless is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anne Harless was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.