Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245955095 Individual Practitioner Female Practitioner

Ivy Custer , APRN

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Ivy Custer, APRN is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 1234 E DUPONT RD STE 3 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1234 E Dupont Rd Ste 3

Fort Wayne, IN 468251545

Telephone 2604255970
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
48.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
17 13 $269.00 $135.15
99213 Established patient office or other outpatient visit, typically 15 minutes
12 11 $135.00 $71.24

Medical Specialties & State Licenses

CMS Verified: 2023-03-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71013312A

(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

3 Associated Practitioners
Kelly Soracco , RDN

Dietitian, Registered

NPI 1407466766

Registered Dietitian Nutritionist

Tabitha Bane

Nurse Practitioner

NPI 1417339896
Caylie Cappelli , NP

Nurse Practitioner

NPI 1992438147

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 15, 2022

Registered at 1234 E DUPONT RD STE 3, FORT WAYNE, IN 468251545 (Tel: 2604255970)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2022

Nurse Practitioner (License #71013312A in IN)

👤
Provider Name / Credentials Updated October 16, 2022

Recorded as IVY CUSTER, APRN

NPI Profile Active October 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2022

Registered at 1234 E DUPONT RD, FORT WAYNE, IN 468251545 (Tel: 2604255970)

📍
Updated Business Mailing Address October 04, 2022

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

👤
Provider Name / Credentials Updated October 04, 2022

Recorded as IVY SLAIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2022

Registered Nurse (License #28192667A in IN)

🟢
Initial NPI Registration & Enumeration October 04, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Ivy Custer. Be the first to share your experience!

Sign in to leave a review for Ivy Custer

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1245955095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2022
Last Update: March 23, 2023
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.