STACEY RENEE PULVER MSN FNP-C
NPI 1518566397
Nurse Practitioner - Family in Fort Wayne, IN

Q: What is Stacey Pulver's NPI number?

The NPI number for Stacey Pulver is 1518566397. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Q: What is Stacey Pulver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Pulver was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 22, 2020PECOS EnrolledAccepts Medicare Assignment

6326 CONSTITUTION DR, FORT WAYNE, IN 46804(260) 615-2219 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2020, Oct 22, 2020 (2 updates tracked since 2020).

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About Stacey Renee Pulver Msn Fnp-c NPPES

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

STACEY RENEE PULVER MSN FNP-C (NPI 1518566397) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (28116605A) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1518566397

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACEY RENEE PULVERCredential: MSN FNP-C

Location Address6326 CONSTITUTION DRFort Wayne, IN 46804-1518

Mailing Address6326 Constitution DrFort Wayne, IN 46804-1518

Phone(260) 615-2219

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 22, 2020

Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration

NPPES CertifiedNovember 12, 2020

✔ NPI 1518566397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 28116605A

6326 CONSTITUTION DR, Fort Wayne, IN 46804

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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

Stacey Renee Pulver Msn Fnp-c 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 ID840604922

PECOS Enrollment IDI20210201002100

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 Reassignments

Medicare enrollment records show Stacey Pulver reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rp Care LLC

0.1 mi

Family

6326 CONSTITUTION DR
Fort Wayne, IN 46804

Reassigned Medicare billing, Indiana enrollment
52 clinicians in this Medicare group

NPI 1134570104 (260) 515-3275

Great Health Medical In PC

69 mi

Family Medicine

1345 N MADISON AVE
Anderson, IN 46011

Reassigned Medicare billing, Indiana enrollment
7 clinicians in this Medicare group

NPI 1588464242 (718) 470-0288

Golden Brook Senior Care PC

1,083 mi

Geriatric Medicine

16650 W DIXIE HWY
North Miami Beach, FL 33160

Reassigned Medicare billing, Indiana enrollment
5 clinicians in this Medicare group

NPI 1306739719 (718) 470-0288

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,910 services149 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,397 services144 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

580 services65 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

154 services34 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

19 services16 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

17 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN

OwnershipProprietary

CMS Certification Number150047

Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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.

MELISA KAYE RENNER APRN, MSN, FNP-C

Nurse Practitioner (Family)