Individual provider · Type 1 NPI

Michaela K. Roberts

Nurse Practitioner · Fort Wayne, IN

NPI number 1497549992 Active

Practice location

11141 Parkview Plaza Dr Ste 305
Fort Wayne, IN 46845-1715

Call (260) 266-8900 Map

Fax (260) 266-8935

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

Taxonomy	Code	License
General Practice Registered Nurse	163WG0000X	28237013A (IN)
Nurse Practitioner Primary	363L00000X	71017148A (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 1497549992

Michaela K. Roberts's National Provider Identifier is 1497549992, issued on Apr 8, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 29, 2025.