Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235807686 Individual Practitioner Female Practitioner

Marissa Miller , NP

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Marissa Miller, NP is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 11104 PARKVIEW CIRCLE DR STE 50 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11104 Parkview Circle Dr Ste 50

Fort Wayne, IN 468451733

Telephone 2602665400
Fax 2604588948
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71011636A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Amanda Mayle , PsyD, HSPP

Psychologist - Clinical

NPI 1003865395

Doctor of Psychology (Psy.D.), HSPP

Kristen Azzue

Physician Assistant

NPI 1043175250
Amanda Leisure , CPNP-AC, PC

Nurse Practitioner - Pediatrics

NPI 1154872653

CPNPAC, PC

Kristen Dettmer , PNP

Nurse Practitioner

NPI 1235985938

Pediatric Nurse Practitioner

Rowann Hassan

Nurse Practitioner

NPI 1275252975
Vivian Appiarius , NP

Nurse Practitioner

NPI 1275806663

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
👤
Provider Name / Credentials Updated September 25, 2024

Recorded as MARISSA MILLER, NP

📍
Updated Practice Location September 09, 2022

Registered at 11104 PARKVIEW CIRCLE DR STE 50, FORT WAYNE, IN 468451733 (Tel: 2602665400)

📍
Updated Business Mailing Address September 09, 2022

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2022

Nurse Practitioner (License #71011636A in IN)

NPI Profile Active September 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2021

Registered at 2810 DUPONT COMMERCE CT, FORT WAYNE, IN 468252393 (Tel: 2604907337)

📍
Updated Business Mailing Address September 01, 2021

Registered at 2810 DUPONT COMMERCE CT, FORT WAYNE, IN 468252393 (Tel: 2604907337)

👤
Provider Name / Credentials Updated September 01, 2021

Recorded as MARISSA MORROW, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2021

Nurse Practitioner (License #28229638A in IN)

🟢
Initial NPI Registration & Enumeration September 01, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235807686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2021
Last Update: September 25, 2024
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.