Individual provider Active NPI

Summer Elaine Tuley, FNP

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1750166146
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014399A Issued in IN
Practice address
3512 Stellhorn Rd
Fort Wayne, IN 46815-4631
Phone
(260) 483-9081
Fax
(260) 483-9196
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71014399A IN Primary
Family Nurse Practitioner 363LF0000X 4011022 KY

Addresses

Primary practice location

3512 Stellhorn Rd
Fort Wayne, IN 46815-4631

Mailing address

PO Box 392552
Pittsburgh, PA 15251-2501
Phone (512) 792-4402

Other practice location 1

828 Lane Allen Rd Ste 219
Lexington, KY 40504-3659
Phone (260) 483-9081

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
I20231030002150 IN Practitioner - Nurse Practitioner 1951757871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince Jun 23, 2025 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jun 23, 2025 Accepting new patients
Extended Care Specialists, Inc CurrentSince Oct 6, 2024 Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

9778 E US Highway 36
Avon, IN 46123

2920 S McIntire Dr
Ste 100A
Bloomington, IN 47403

2556 Waterbridge Way
Evansville, IN 47710

3512 Stellhorn Rd
Fort Wayne, IN 46815

7230 Engle Rd
Ste 302
Fort Wayne, IN 46804

973 Emerson Pkwy
Ste D
Greenwood, IN 46143
Phone (317) 585-5730

8330 Naab Rd
Ste 230
Indianapolis, IN 46260

5118 E Lincoln Hwy
Merrillville, IN 46410

360 Dunes Plz
Michigan City, IN 46360

3665 Park Pl W
Ste 300
Mishawaka, IN 46545
Phone (574) 314-6436

3411 N Briarwood Ln
Muncie, IN 47304
Phone (317) 870-1970

306 Ridge Rd
Munster, IN 46321

5787 S US Highway 41
Terre Haute, IN 47802
Phone (812) 219-5702

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

Organizations & group practices 3

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1750166146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392552",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152512501",
            "telephone_number": "512-792-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 STELLHORN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154631",
            "telephone_number": "260-483-9081",
            "fax_number": "260-483-9196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 Lane Allen Rd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043659",
            "country_code": "US",
            "telephone_number": "260-483-9081",
            "fax_number": "260-483-9196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULEY",
        "first_name": "SUMMER",
        "middle_name": "ELAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014399A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4011022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.