VICKI L BAHLS NP
NPI 1619962198
Nurse Practitioner in Fort Wayne, IN

Q: What is Vicki Bahls's NPI number?

The NPI number for Vicki Bahls is 1619962198. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Q: What is Vicki Bahls'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 Vicki Bahls was last updated on March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 September 12, 2005

2518 E DUPONT RD, FORT WAYNE, IN 46825(260) 432-4400(260) 969-6898 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vicki L Bahls Np NPPES

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

VICKI L BAHLS NP (NPI 1619962198) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71000085) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1619962198

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameVICKI L BAHLSCredential: NP

Location Address2518 E DUPONT RDFort Wayne, IN 46825-1675

Mailing Address2518 E Dupont RdFort Wayne, IN 46825-1675 · (260) 432-4400 · Fax (260) 969-6898

Phone(260) 432-4400

Fax(260) 969-6898

Sole ProprietorNo

Enumeration DateSeptember 12, 2005

Last NPPES UpdateMarch 5, 2014

✔ NPI 1619962198 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 IN · 71000085

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 ListedRegistered NurseTaxonomy 163W00000X · License 28058063A (IN)

2518 E DUPONT RD, Fort Wayne, IN 46825

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Other Identifiers 4

Other500020063IN · Rail Road Medicare

Medicaid200351030IN

Medicare PIN259990GGIN

Medicare UPINP16294IN

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.

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