Active NPI
Amy Rae Reeser, FNP-C
- Family Nurse Practitioner
- Fort Wayne, IN
National Provider Identifier
1962188656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06230039
- Practice address
- 2700 Lafayette St Ste 110
Fort Wayne, IN 46806-1100 - Phone
- (260) 266-0780
- Fax
- (260) 266-0785
- NPI assigned
- Jun 26, 2023
- Last updated
- Jun 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06230039 | IN | Primary |
Addresses
Primary practice location
2700 Lafayette St Ste 110
Fort Wayne, IN 46806-1100
Mailing address
6640 W State Road 205
South Whitley, IN 46787-9683
Phone (260) 503-7092
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06230039 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Health Centers Inc. | Current | Accepting new patients | |
| Alliance Health Centers, Inc. | Family | Current | Accepting new patients |
Locations
2700 Lafayette St
Ste 110
Fort Wayne, IN 46806
Phone (260) 660-0780
Interoperability endpoints
- areeser569828@direct.parkviewexchange.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Fort Wayne, IN
- NPI 1316556848
Family
-
- Federally Qualified Health Center (FQHC)
- Marion, IN
- NPI 1013880913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1962188656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6640 W STATE ROAD 205",
"city": "SOUTH WHITLEY",
"state": "IN",
"postal_code": "467879683",
"telephone_number": "260-503-7092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 LAFAYETTE ST STE 110",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468061100",
"telephone_number": "260-266-0780",
"fax_number": "260-266-0785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESER",
"first_name": "AMY",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "F06230039",
"primary": true
}
],
"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 Jun 26, 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.