1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Nurse Practitioner
  6. NPI Profile

ROBERT ALAN PRUETT III AGACNP-BC
NPI 1295665453
Nurse Practitioner in Fort Wayne, IN

Active since May 20, 2026PECOS Enrolled
11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845(260) 425-6780(260) 425-6789 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2026, May 20, 2026 (2 updates tracked since 2026).

About Robert Alan Pruett Iii Agacnp-bc NPPES

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

ROBERT ALAN PRUETT III AGACNP-BC (NPI 1295665453) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71018191A) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1295665453
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameROBERT ALAN PRUETT IIICredential: AGACNP-BC
Location Address11104 PARKVIEW CIRCLE DR STE 110Fort Wayne, IN 46845-1673
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701 · (260) 668-0033
Phone(260) 425-6780
Fax(260) 425-6789
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 20, 2026
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1295665453 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 · 71018191A
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.
11104 PARKVIEW CIRCLE DR STE 110, Fort Wayne, IN 46845
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Alan Pruett Iii Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062972631
PECOS Enrollment IDI20260902002375
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 Robert Pruett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Parkview Health System,inc.
Same address
Gastroenterology
11104 PARKVIEW CIRCLE DR STE 310
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1437461449 (260) 266-5230

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 46845 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.

DR. KELLEY RAE LOCKHART M.D.
Internal Medicine (Critical Care Medicine)
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
RICHARD EDWIN CONWAY
Family Medicine
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
DR. JONATHAN TAYLOR GROSSMAN DO
Psychiatry & Neurology (Neurology)
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
NICOLE ALEXANDRA HAGEN
Physician Assistant
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
TYLER ATKINS M.D.
Neurological Surgery
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
DANIEL BUTLER
Physician Assistant
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
KEVIN C BUI MD
Psychiatry & Neurology (Neurology)
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780
KYLE AARON LITTELL M.D.
Physical Medicine & Rehabilitation
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845
Allen County (260) 425-6780

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 Robert Pruett's NPI number?

The NPI number for Robert Pruett is 1295665453. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Robert Pruett located?

Robert Pruett practices at 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845. The listed phone number is (260) 425-6780.

What is Robert Pruett's specialty?

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

Is Robert Pruett enrolled in Medicare?

Yes. Robert Pruett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Pruett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Pruett reassigns Medicare benefits to Parkview Health System,inc. (Fort Wayne, 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 Robert Pruett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Pruett accept?

Health plans from Anthem Blue Cross and Blue Shield list Robert Pruett 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 Robert Pruett was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.