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TERAH BAUTISTA FNP-C
NPI 1801597315
Nurse Practitioner in Fort Wayne, IN

Active since March 13, 2023PECOS EnrolledAccepts Medicare Assignment
10620 CORPORATE DR, FORT WAYNE, IN 46845(260) 266-7100(260) 266-6695 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Aug 6, 2025, Feb 14, 2025 and 5 more (8 updates tracked since 2023).

About Terah Bautista Fnp-c NPPES

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

TERAH BAUTISTA FNP-C (NPI 1801597315) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71013802A) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801597315
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTERAH BAUTISTACredential: FNP-C
Location Address10620 CORPORATE DRFort Wayne, IN 46845-1711
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 266-7100
Fax(260) 266-6695
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 13, 2023
Last NPPES UpdateDecember 2, 20258 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1801597315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71013802A
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.
10620 CORPORATE DR, Fort Wayne, IN 46845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Terah Bautista 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 ID4789041278
PECOS Enrollment IDI20230526000365
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
97 services84 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150150
Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County
Emergency services Birthing friendly

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.

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.

DERMATOLOGY AND LASER SURGERY ASSOCIATES OF FORT WAYNE P.C.
Dermatology
10620 CORPORATE DR, SUITE A
FORT WAYNE, IN 46845
Allen County (260) 423-2567
PREMIER STRATEGIES LLC
Occupational Therapist
10620 CORPORATE DR, STE C
FORT WAYNE, IN 46845
Allen County (260) 385-2130
SWEET PEAS, INC.
Specialist
10620 CORPORATE DR, SUITE C
FORT WAYNE, IN 46845
Allen County (260) 341-8230
DAVID R BAKER PA
Physician Assistant
10620 CORPORATE DR
FORT WAYNE, IN 46845
Allen County (260) 266-8392
LISA M. COVILLE OTR
Occupational Therapist
10620 CORPORATE DR, SUITE C
FORT WAYNE, IN 46845
Allen County (260) 341-8230
FOREFRONT DERMATOLOGY, S.C.
Dermatology
10620 CORPORATE DR, SUITE A
FORT WAYNE, IN 46845
Allen County (260) 423-2567

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 Terah Bautista's NPI number?

The NPI number for Terah Bautista is 1801597315. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Terah Bautista located?

Terah Bautista practices at 10620 Corporate Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-7100.

What is Terah Bautista's specialty?

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

Is Terah Bautista enrolled in Medicare?

Yes. Terah Bautista is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Terah Bautista accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Terah Bautista 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.

Is Terah Bautista affiliated with any hospitals?

According to CMS data, Terah Bautista is affiliated with Lutheran Hospital Of Indiana and Dupont Hospital LLC.

When was this NPI record last updated?

The NPPES record for Terah Bautista was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.