NPPES file of Aug 9, 2026

Stacy Nicole Nicole

Nurse Practitioner · Fort Wayne, IN

Stacy Nicole Nicole is a nurse practitioner with a practice address in Fort Wayne, Indiana, and NPI 1891516167, issued on Oct 21, 2024. Check the license (Indiana 71016044A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1891516167
Name
Stacy Nicole Nicole
Primary taxonomy
Nurse Practitioner 363L00000X
License numbers
71016044A IN
28147485A IN
Self-reported in NPPES; status is on the state search
Practice location
3909 New Vision Dr, Fort Wayne, IN 46845
Phone
(260) 469-6610
Enumerated
Oct 21, 2024
Record last updated
Mar 3, 2025
Fax
(260) 969-3065
Medicare enrollment
Enrolled (PECOS I20250117000420); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest nurse practitioner records → All 2,582 in Indiana → Look up another NPI →

Also registered at 3909 New Vision Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Stephanie AmstutzRegistered Dietitian1831566348
  2. Erika Arnold, NP-CNurse Practitioner1932522695
  3. Amanjit BanwaitNurse Practitioner1881314631
  4. Kristen BischoffRegistered Dietitian1861846636
  5. Brooke Bohnstedt, NP-CFamily Medicine Physician1588067300
  6. Sean BrennanFamily Medicine Physician1821103698

Verify Stacy Nicole Nicole in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Indiana board licenses this profession
    Search for license 71016044A    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Indiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Parkview Health System IncFort Wayne, IN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Stacy Nicole Nicole among 2,582 nurse practitioner records in Indiana

Stacy Nicole Nicole is one of 2,582 nurse practitioner records with a practice address in Indiana. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 90% of them.

  • NPI issued2024 · 90% of these records are older, 6% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2024 · median 2018 among the 1,710 with a school on file
  • Record last updated2025 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

524 nurse practitioner records list a practice address in Fort Wayne

They are 524 of the 9,203 NPPES records with a practice address in Fort Wayne, and 2,582 nurse practitioner records in Indiana.

All 2,582 in Indiana → Every provider in Fort Wayne → Nurse Practitioner nationwide →

The 8 nurse practitioner records with the nearest ZIP codes

  1. Patricia Baldwin-Bodie, RNC, WHNPFort Wayne, IN 468451851372122
  2. Lesa Crawford, NPFort Wayne, IN 468451891808192
  3. Jennifer Dougal, NP-CFort Wayne, IN 468451528040805
  4. Sheryl Etnier-Colon, NPFort Wayne, IN 468451851332738
  5. Joyce Fisher, NPFort Wayne, IN 468451962404392
  6. Marlise Fletter, NPFort Wayne, IN 468451467418079
  7. Lisa Foldesi, NPFort Wayne, IN 468451487690665
  8. Reginald Humphrey, NPFort Wayne, IN 468451619978178

Common questions

What is Stacy Nicole Nicole's NPI number?

Stacy Nicole Nicole's National Provider Identifier (NPI) is 1891516167, issued on Oct 21, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Stacy Nicole Nicole located?

The NPPES record lists a practice address at 3909 New Vision Dr, Fort Wayne, IN, 46845. Phone: (260) 469-6610. Providers update this record themselves, so call before visiting.

How can I verify Stacy Nicole Nicole's license?

NPPES lists Indiana license number 71016044A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.