Mrs Elizabeth Anne Mysliwiec, FNP in Fort Wayne, IN

Mrs Elizabeth Anne Mysliwiec, FNP is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. Her current practice location is 800 Broadway Ste 100, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 425-2630.

Mrs Elizabeth Anne Mysliwiec is licensed to practice in Indiana (license number 71014932A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013640200.

Contact Information

	Mrs Elizabeth Anne Mysliwiec, FNP
	800 Broadway Ste 100, Fort Wayne, IN 46802-2149
	(260) 425-2630
	(260) 425-2631

Map and Direction

Provider's Profile

Full Name	Mrs Elizabeth Anne Mysliwiec
Gender	Female
Speciality	Nurse Practitioner
Location	800 Broadway Ste 100, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013640200
Provider Enumeration Date: 07/05/2022
Last Update Date: 09/15/2025

Medicare PECOS Information:

PECOS PAC ID: 0749624724
Enrollment ID: I20240217000351

Medical Identifiers

Medical identifiers for Mrs Elizabeth Anne Mysliwiec such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013640200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28153761A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71014932A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Elizabeth Anne Mysliwiec allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Elizabeth Anne Mysliwiec is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Elizabeth Anne Mysliwiec, FNP 800 Broadway Ste 100, Fort Wayne, IN 46802-2149 Ph: (260) 425-2630	Mrs Elizabeth Anne Mysliwiec, FNP 800 Broadway Ste 100, Fort Wayne, IN 46802-2149 Ph: (260) 425-2630

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

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: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
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
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Mrs Elizabeth Anne Mysliwiec, FNP - Medicare Nurse Practitioner in Fort Wayne, IN