BERNITA FLYE
NPI 1710396940
Nurse Practitioner - Pediatrics in Fort Wayne, IN

Q: What is Bernita Flye's NPI number?

The NPI number for Bernita Flye is 1710396940. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Q: What is Bernita Flye's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Bernita Flye was last updated on August 13, 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 August 13, 2014

3919 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-7722 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bernita Flye NPPES

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

BERNITA FLYE (NPI 1710396940) is an individual pediatrics provider in Fort Wayne, Indiana, licensed in Indiana (28079791A) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1710396940

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameBERNITA FLYE

Location Address3919 W JEFFERSON BLVDFort Wayne, IN 46804-6811

Mailing Address6330 Pine Meadows LnFort Wayne, IN 46835-3800 · (260) 486-3663

Phone(260) 436-7722

Sole ProprietorNo

Enumeration DateAugust 13, 2014

✔ NPI 1710396940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in IN · 28079791A

3919 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Other Identifiers 1

Medicaid100465770IN

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERSON PEDIATRICS, PC

Nurse Practitioner (Family)

3919 W JEFFERSON BLVD, SUITE 1
FORT WAYNE, IN 46804

Allen County (260) 436-7722

GIRIDHAR RAO VEERULA

Specialist

3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 436-7722

FORT WAYNE INTEGRATIVE MEDICINE

Internal Medicine

3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 475-0772

PEDSTAT

Clinic/Center (Urgent Care)

3919 W JEFFERSON BLVD, SUITE 2
FORT WAYNE, IN 46804

Allen County (260) 436-7722

BRITTANY LEE SCHOENLE PA

Physician Assistant

3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 436-7722

LISA MOELLERING RN, CPNP-PC

Nurse Practitioner (Pediatrics)

3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (832) 482-8518

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 Bernita Flye's NPI number?

The NPI number for Bernita Flye is 1710396940. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Where is Bernita Flye located?

Bernita Flye practices at 3919 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-7722.

What is Bernita Flye's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Bernita Flye was last updated on August 13, 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.