Individual provider · Type 1 NPI

Elyssa Ann Pittenger, FNP-BC

Nurse Practitioner · Fort Wayne, IN

NPI number 1497515720 Active

Practice location

4020 New Vision Dr
Fort Wayne, IN 46845-1737

Call (260) 423-2567 Map

Fax (260) 420-2415

Mailing address

801 York St
Manitowoc, WI 54220-4630

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28240879A (IN)
Nurse Practitioner Primary 363L00000X71015943A (IN)

Nurse Practitioner: (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 wit…

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About NPI 1497515720

Elyssa Ann Pittenger, FNP-BC's National Provider Identifier is 1497515720, issued on Mar 21, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 9, 2025.