EMPOWER WELLNESS CENTER, LLC
NPI 1477390128
Nurse Practitioner - Family in Fort Wayne, IN
About Empower Wellness Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMPOWER WELLNESS CENTER, LLC (NPI 1477390128), doing business as Empower Wellness Center, is a healthcare organization registered as a family in Fort Wayne, Indiana and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Stacie Lynn Housholder, Nurse Practitioner/co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D2312298
Empower Wellness Center, LLC · Fort Wayne, INFrequently 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 Empower Wellness Center, LLC's NPI number?
The NPI number for Empower Wellness Center, LLC is 1477390128. It was assigned to this organization in the NPPES registry on July 10, 2024. The provider is doing business as Empower Wellness Center.
Where is Empower Wellness Center, LLC located?
Empower Wellness Center, LLC is located at 12722 Tonkel Rd, Fort Wayne, IN 46845. The listed phone number is (260) 602-3472.
What is Empower Wellness Center, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Empower Wellness Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2312298) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Empower Wellness Center, LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Empower Wellness Center, LLC 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 Empower Wellness Center, LLC was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Empower Wellness Center, Llc · NPI 1477390128
Family organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since July 10, 2024.
## Identity
- **NPI:** 1477390128 (Entity type: Organization)
- **Enumerated:** July 10, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Empower Wellness Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Stacie Housholder, NURSE PRACTITIONER/CO-OWNER
## Practice location
- **Address:** 12722 TONKEL RD, Fort Wayne, IN 46845-8200
- **Phone:** (260) 602-3472
## Record status
- **NPPES last updated:** July 10, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477390128) · Data from the CMS NPPES public registry.