IndividualActive
Caroline Matvya
NPI 1073623419 · Adult Health Nurse Practitioner · Fort Wayne, IN
Provider details
- NPI number
- 1073623419
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 71001142A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1010 W Washington Center Rd
Fort Wayne, IN 46825-4155
Phone: (269) 450-3096
Street-level locationGet directions
Mailing address
Po Box 15753
Fort Wayne, IN 46885-5753
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.