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ANITA LOUISE DOCTOR NP
NPI 1740204270
Nurse Practitioner - Family in Fort Wayne, IN

Active since July 27, 2006PECOS Enrolled
14303 W CEDAR LAKE DR, FORT WAYNE, IN 46845(260) 438-8863 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Feb 21, 2018 (2 updates tracked since 2018).

About Anita Louise Doctor Np NPPES

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

ANITA LOUISE DOCTOR NP (NPI 1740204270) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71002180A) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1740204270
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANITA LOUISE DOCTORCredential: NP
Location Address14303 W CEDAR LAKE DRFort Wayne, IN 46845-9642
Mailing Address14303 W Cedar Lake DrFort Wayne, IN 46845-9642 · (260) 438-8863
Phone(260) 438-8863
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1740204270 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 · 71002180A
14303 W CEDAR LAKE DR, Fort Wayne, IN 46845
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Secondary Practice Location 1

Location 17900 W Jefferson Blvd, Suite 304Fort Wayne, IN 46804-4128 · Phone (260) 969-6200 · Fax (260) 969-6201

Other Identifiers 1

Other000000490404IN · Anthem Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anita Louise Doctor Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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.

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 Anita Doctor's NPI number?

The NPI number for Anita Doctor is 1740204270. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Anita Doctor located?

Anita Doctor practices at 14303 W Cedar Lake Dr, Fort Wayne, IN 46845. The listed phone number is (260) 438-8863.

What is Anita Doctor's specialty?

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

Is Anita Doctor enrolled in Medicare?

Yes. Anita Doctor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anita Doctor was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.