Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376016634 Individual Practitioner Female Practitioner

Amanda N Bloomfield , NP

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Amanda Bloomfield, NP is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 11115 PARKVIEW PLAZA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11115 Parkview Plaza Dr

Fort Wayne, IN 468451701

Telephone 2606726443
Fax 2606726459
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: 2025-12-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71008766A

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.0033057

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
300024283 (IN)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Melissa Rice , DO

Pediatrics - Neonatal-Perinatal Medicine

NPI 1003088139

Doctor of Osteopathic Medicine (D.O.)

Dr. Ravi Kudumula , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1225250129

Doctor of Medicine (M.D.)

Dr. Ekaterina Dianova , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1306379789

Doctor of Medicine (M.D.)

Dr. Alston Porter , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1326099334

Doctor of Medicine (M.D.)

Beatrice Troxell , NP

Nurse Practitioner

NPI 1376542126

Nurse Practitioner

Dr. Moses Olatunji , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1497996425

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location October 02, 2025

Registered at 11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 468451701 (Tel: 2606726443)

📍
Updated Business Mailing Address October 02, 2025

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

📍
Updated Practice Location May 28, 2025

Registered at 2001 W 86TH ST, INDIANAPOLIS, IN 462601902 (Tel: 2604142412)

📍
Updated Practice Location March 21, 2023

Registered at 3333 BURNET AVE, CINCINNATI, OH 452293026 (Tel: 5136369985)

📍
Updated Business Mailing Address March 21, 2023

Registered at 20127 LAKEVIEW DR, LAWRENCEBURG, IN 470258915 (Tel: 2604142412)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2023

Nurse Practitioner (License #71008766A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2020

Nurse Practitioner (License #28176681A in IN)

📍
Updated Practice Location March 07, 2019

Registered at 7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804 (Tel: 2604793516)

📍
Updated Business Mailing Address March 07, 2019

Registered at 6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 468047934 (Tel: 2604793516)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2019

Nurse Practitioner (License #71008766A in IN)

NPI Profile Active January 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2019

Registered at 705 RILEY HOSPITAL DR, RR 208, INDIANAPOLIS, IN 462025109 (Tel: 3172744715)

📍
Updated Business Mailing Address January 09, 2019

Registered at PO BOX 1026, INDIANAPOLIS, IN 462061026 (Tel: 3177776927)

👤
Provider Name / Credentials Updated January 09, 2019

Recorded as AMANDA BLOOMFIELD, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2019

Nurse Practitioner (License #28176681A in IN)

🟢
Initial NPI Registration & Enumeration January 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1376016634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2019
Last Update: December 02, 2025
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.