SUSAN D. OVERCASH NP
NPI 1215126958
Nurse Practitioner in Fort Wayne, IN

Q: What is Susan Overcash's NPI number?

The NPI number for Susan Overcash is 1215126958. It was assigned to this individual provider in the NPPES registry on October 18, 2007.

Q: What is Susan Overcash's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Overcash was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 18, 2007

2622 LAKE AVE, FORT WAYNE, IN 46805(260) 460-3100(260) 460-3130 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Susan D. Overcash Np NPPES

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

SUSAN D. OVERCASH NP (NPI 1215126958) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71001699A) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1215126958

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSAN D. OVERCASHCredential: NP

Location Address2622 LAKE AVEFort Wayne, IN 46805-5410

Mailing Address2622 Lake AveFort Wayne, IN 46805-5410 · (260) 460-3100 · Fax (260) 460-3130

Phone(260) 460-3100

Fax(260) 460-3130

Sole ProprietorNo

Enumeration DateOctober 18, 2007

Last NPPES UpdateNovember 20, 2007

✔ NPI 1215126958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71001699A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2622 LAKE AVE, Fort Wayne, IN 46805

Open in Google Maps ↗

Other Identifiers 3

Medicare NSC5506830003IN

Medicare PIN668120WIN

Medicare NSC5506830001IN

Other Providers at the Same Location NPPES 13

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

MRS. LORI SNODGRASS OTR

Occupational Therapist