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

Active since October 12, 2016PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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, maintains a secondary practice location in Pendleton, and is a graduate of Other (2016).

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
Fax(260) 483-9196
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
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

Secondary Practice Location 1

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

Other Identifiers 2

Medicaid201405200IN
OtherP01751331IN · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anne G W Harless Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810277209
PECOS Enrollment IDI20161130001367
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.

Medicare Billing Reassignment

Medicare enrollment records show Anne Harless reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
2201 E 46TH ST STE 172
Indianapolis, IN 46205
  • Reassigned Medicare billing, Indiana enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Contractor
3512 STELLHORN RD
FORT WAYNE, IN 46815
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Nurse Practitioner (Psychiatric/Mental Health)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Nurse Practitioner (Gerontology)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Occupational Therapist
3512 STELLHORN RD
FORT WAYNE, IN 46815
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Anne Harless's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anne Harless reassigns Medicare benefits to Beewell Healthcare LLC (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anne Harless's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anne Harless accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare and UnitedHealthcare list Anne Harless as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.