| Dana L Staddon, FNP-C | |
|
7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | |
| (260) 436-8686 | |
| Not Available |
| Full Name | Dana L Staddon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 7601 W Jefferson Blvd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255878815 | NPI | - | NPPES |
| F1216399 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION | |
| 71011484A | Other | IN | IN APRN LICENSE |
| AP09146 | Other | LA | LA APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP09146 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kosciusko Community Hospital | Warsaw, IN | Hospital |
| The Orthopaedic Hospital Of Lutheran Health Networ | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Wayne Orthopaedics, Llc | 7618965286 | 57 |
| Entity Name | Fort Wayne Orthopaedics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497758429 PECOS PAC ID: 7618965286 Enrollment ID: O20040503001253 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana L Staddon, FNP-C Po Box 2526, Fort Wayne, IN 46801-2526 Ph: (260) 436-8686 | Dana L Staddon, FNP-C 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 Ph: (260) 436-8686 |
Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911 | |
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275 | |
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911 | |
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672 | |
Mr. Justin Michael Garrison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4008 Stanton Dr, Fort Wayne, IN 46815 Phone: 260-760-7753 | |
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077 | |
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455 |