Active NPI
Summer Elaine Tuley, FNP
- Family Nurse Practitioner
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71014399A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Extended Care Specialists, Inc | Current | 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.
-
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
IN
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1669873733
-
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.