Hayley Samantha Robuck · Haley Samantha Morris · Nurse Practitioner

11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733

Overview

Hayley Samantha Robuck is a Nurse Practitioner practicing in Fort Wayne, Indiana. The National Provider Identifier (NPI) is #1548911324, which was assigned on January 13, 2022, and the registration record was last updated on February 3, 2025. The practitioner's main practice location is at 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733; the contact telephone number is 2602665230, and the fax number is 2604585942. The primary taxonomy of Hayley Samantha Robuck is Nurse Practitioner (363L00000X). Hayley Samantha Robuck is licensed to practice in the state of Indiana (#71012115A).

(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.

Provider Information

NPI 1548911324
Entity Type Individual
Provider Name HAYLEY SAMANTHA ROBUCK
Other Name HALEY SAMANTHA MORRIS
(Former Name)
Gender Female
Credential NP
Other Credential NP
Practice Address 11104 Parkview Circle Dr Ste 310
Fort Wayne
IN 46845-1733
Practice Telephone 2602665230
Practice Fax Number 2604585942
Mailing Address 11109 Parkview Plaza Dr # 117
Fort Wayne
IN 46845-1701
Certification Date 2025-02-03
Enumeration Date 2022-01-13
Last Update Date 2025-02-03
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 9032647839
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name HAYLEY SAMANTHA ROBUCK
Primary Specialty NURSE PRACTITIONER
Organization Legal Name PARKVIEW HEALTH SYSTEM INC
Address 2200 Randallia Dr
Fort Wayne
IN 46805-4638

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363L00000XNurse Practitioner71012115AIN

Taxonomy Information

Primary Taxonomy

Code 363L00000X
Taxonomy Nurse Practitioner
Classification Nurse Practitioner
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: (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.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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Location Information

Street Address 11104 PARKVIEW CIRCLE DR STE 310
City FORT WAYNE
State IN
Zip Code 46845-1733
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Melanie Nicole Garvin 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733Medical-Surgical Registered Nurse2024-09-12
Ashok Kapur 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845Gastroenterology Physician2006-05-19
Malin Suzan Adams 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733Registered Nurse2021-08-12
David Stephen Heppner 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733Gastroenterology Physician2006-06-07
Praveen Sateesh 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733Gastroenterology Physician2009-02-23
Amanda R Horacek · Amanda R Follrod 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733Nurse Practitioner2019-04-08
Haitam Mohamad Buaisha 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733Internal Medicine Physician2014-08-13

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Douglas A. Neeld 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845-1733Allergy & Immunology (Internal Medicine) Physician2005-12-07
Vanessa Yohana Cavero Chavez 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845-1733Allergy & Immunology (Internal Medicine) Physician2010-09-08
Stacy R Butler 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845-1733Nurse Practitioner2022-02-18
Heather Willison 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845-1733Registered Nurse2018-04-16
Julia Lynn Montejo 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845-1733Allergy & Immunology Physician2006-07-03
Diana Munoz-Mendoza 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845-1733Pediatrics Physician2014-04-19
Sarah A Recker · Sarah Anne Small 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845-1733Nurse Practitioner2020-12-30
Kenneth R Austin 11104 Parkview Circle Dr Ste 20, Fort Wayne, IN 46845-1733Anesthesiology Physician2006-01-21

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
William A Loe Jr. 11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845Pediatric Surgery Physician2006-04-25
Nicole Alexandra Hagen 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673Physician Assistant2025-04-25
Bharat M Bajantri 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845Critical Care Medicine (Internal Medicine) Physician2012-08-10
Marc Richard Larsen-Hallock 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673Student in an Organized Health Care Education/Training Program2020-03-25
Mary E Lopez 11050 Parkview Circle Dr, Fort Wayne, IN 46845Nurse Practitioner2014-04-16
Larry Van Carson 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673Neurological Surgery Physician2006-09-22
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Rachel Hartman 11030 Hickory Tree Rd, Fort Wayne, IN 46845-1034Mental Health Counselor2022-12-15
Usman K Qadeer 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673Neurology Physician2012-03-25
Andrea M Hoover 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845Obstetrics & Gynecology Physician2007-08-06
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.