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Active NPI 1003328667 Individual Practitioner Female Practitioner

Phyllis Annette Ingham , NP-C

Nurse Practitioner • Peru, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Phyllis Ingham, NP-C is a certified Nurse Practitioner practicing in Peru, IN. With approximately 9 years of clinical experience since completing medical education in 2017, Phyllis Ingham delivers high-quality medical care to the local community at 750 N BROADWAY.

Phyllis Ingham is affiliated with Parkview Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

750 N Broadway

Peru, IN 469701027

Telephone 2605692120
Fax 2605692121
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Peru, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -9.0 yrs vs City Avg
City Avg: 18.0 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Peru, IN (2620 Statewide)

Telehealth Adoption Rate
30.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ingham (9 Years) 9 Yrs
Peru Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
22 16 $107.00 $58.32

Medical Specialties & State Licenses

CMS Verified: 2025-12-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71009335A

(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 - Family

NUCC Taxonomy Code: 363LF0000X

State License TX AP134764

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License NM CNP-03521

(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.

Hospital & Practice Group Affiliations

Parkview Health System Inc

817 Trail Ridge Rd, Albion, IN 467011534

Phone: 2603739590

Practice Associates & Co-Workers

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

5 Associated Practitioners
Leeanna Knight

Physician Assistant

NPI 1770195034
Tara Engel , NP

Nurse Practitioner

NPI 1780363572

Nurse Practitioner

Alexis Mcclure , PA

Physician Assistant

NPI 1780490235

Physician Assistant

Olivia Hayes , NP

Nurse Practitioner

NPI 1881077931

Nurse Practitioner

NPI 1891898326

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Business Mailing Address December 02, 2025

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

📍
Updated Practice Location October 02, 2025

Registered at 750 N BROADWAY, PERU, IN 469701027 (Tel: 2605692120)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2025

Nurse Practitioner (License #71009335A in IN)

📍
Updated Practice Location April 17, 2018

Registered at 1100 LEAD AVE SE, ALBUQUERQUE, NM 871065215 (Tel: 5052247000)

📍
Updated Business Mailing Address April 17, 2018

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059236770)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2018

Nurse Practitioner (License #CNP-03521 in NM)

NPI Profile Active November 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2017

Registered at 2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 776402007 (Tel: 4097247389)

📍
Updated Business Mailing Address November 03, 2017

Registered at 8484 VITERBO RD, BEAUMONT, TX 777059266 (Tel: 4093639991)

👤
Provider Name / Credentials Updated November 03, 2017

Recorded as PHYLLIS INGHAM, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2017

Nurse Practitioner (License #AP134764 in TX)

🟢
Initial NPI Registration & Enumeration November 03, 2017

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: 1003328667
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2017
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.