EMILY MASTELOU-PAGE NNP
NPI 1538717848
Nurse Practitioner in Fort Wayne, IN

Q: What is Emily Mastelou-page's NPI number?

The NPI number for Emily Mastelou-page is 1538717848. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Q: What is Emily Mastelou-page's specialty?

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

Active since August 29, 2019PECOS Enrolled

7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 435-7001(260) 435-7632 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2025, Mar 9, 2021, Aug 29, 2019 (3 updates tracked since 2019).

On this page

About Emily Mastelou-page Nnp NPPES

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

EMILY MASTELOU-PAGE NNP (NPI 1538717848) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Ohio (APRN.CNP.0039167) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538717848

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameEMILY MASTELOU-PAGECredential: NNP

Location Address7950 W JEFFERSON BLVDFort Wayne, IN 46804-4140

Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3516 · Fax (260) 479-3520

Phone(260) 435-7001

Fax(260) 435-7632

Sole ProprietorNo

Enumeration DateAugust 29, 2019

Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1538717848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · APRN.CNP.0039167

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.

Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License 71010707A (IN), 28230844A (IN)

7950 W JEFFERSON BLVD, Fort Wayne, IN 46804

Open in Google Maps ↗

Other Identifiers 1

Medicaid300047177IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Mastelou-page Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Emily Mastelou-page reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Medical Center

137 mi

Pediatrics

3333 BURNET AVENUE
Cincinnati, OH 45229

Reassigned Medicare billing, Ohio enrollment
2,080 clinicians in this Medicare group

NPI 1609915784 (513) 636-4225

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 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.

DR. ANURADHA G BOMMAKANTI M.D.

Internal Medicine (Pulmonary Disease)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7001

VANESKA BOTTINO DA COSTA M.D.

Pediatrics (Pediatric Critical Care Medicine)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7001

MISS JACQUELINE SHEPARD

Physician Assistant

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7001

EMERGENCY PROFESSIONALS OF INDIANA, P.C.

Emergency Medicine

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-2699

PAMELA THOMAS MD

Pediatrics

7950 W JEFFERSON BLVD, SUITE 210
FORT WAYNE, IN 46804

Allen County (260) 432-2297

DR. AHDY MESSIHA M.D.

Radiology (Diagnostic Radiology)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 432-1568

LESLIE LEINS PHARMD

Pharmacist (Emergency Medicine)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7734

GORDON HENRY BOKHART PHARM D.

Pharmacist

7950 W JEFFERSON BLVD, RESEARCH DEPARTMENT
FORT WAYNE, IN 46804

Allen County (260) 435-7718

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 Emily Mastelou-page's NPI number?

The NPI number for Emily Mastelou-page is 1538717848. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Where is Emily Mastelou-page located?

Emily Mastelou-page practices at 7950 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 435-7001.

What is Emily Mastelou-page's specialty?

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

Is Emily Mastelou-page enrolled in Medicare?

Yes. Emily Mastelou-page is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Mastelou-page's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Mastelou-page reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). 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 Emily Mastelou-page's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Mastelou-page accept?

Health plans from CareSource list Emily Mastelou-page 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 Emily Mastelou-page was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.