Individual provider Active NPI

Angela M Sobieck, NP

  • Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1023599651
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28160343A Issued in IN
Practice address
2927 Lake Ave
Fort Wayne, IN 46805-5415
Phone
(260) 469-4148
Fax
(260) 702-0934
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28160343A IN Primary

Addresses

Primary practice location

2927 Lake Ave
Fort Wayne, IN 46805-5415

Mailing address

2927 Lake Ave
Fort Wayne, IN 46805-5415
Phone (260) 469-4148

Other identifiers 2

IdentifierTypeStateIssuer
28160343AOtherININDIANA RN LICENSE
71008275AOtherININ NP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180918001220 IN Practitioner - Nurse Practitioner 2668723453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
55.22 of 100Reported as group
Quality
80.26
Improvement activities
0
Cost
77.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28160343AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Consultants LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

306 E Maumee St
Ste 103
Angola, IN 46703
Phone (260) 432-1800

7201 Engle Rd
Fort Wayne, IN 46804
Phone (260) 432-1800

7910 W Jefferson Blvd
Ste 300
Fort Wayne, IN 46804
Phone (260) 432-1800

Interoperability endpoints

  • Direct secure messaging: asobieck654119@direct.parkviewexchange.com
  • FHIR API: https://api.platform.athenahealth.com/1725/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1023599651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055415",
            "telephone_number": "260-469-4148",
            "fax_number": "260-702-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055415",
            "telephone_number": "260-469-4148",
            "fax_number": "260-702-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBIECK",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28160343A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA RN LICENSE",
            "identifier": "28160343A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN NP LICENSE",
            "identifier": "71008275A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.