Annaliesa Fanguy, MD
NPI 1760365530 · Student in an Organized Health Care Education/Training Program · Mishawaka, IN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Annaliesa Fanguy, MD is a Student in an Organized Health Care Education/Training Program provider in Mishawaka, IN (NPI 1760365530).
Provider details
- NPI number
- 1760365530
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 348260 (LA)
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-07-29
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Annaliesa Fanguy's NPI number?
- Annaliesa Fanguy's National Provider Identifier (NPI) is 1760365530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Annaliesa Fanguy's specialty?
- Annaliesa Fanguy is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Annaliesa Fanguy located?
- Annaliesa Fanguy's practice location on file with NPPES is 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468.
- What is Annaliesa Fanguy's phone number?
- The practice phone number listed in the NPPES registry for Annaliesa Fanguy is (574) 335-6500.
- Does Annaliesa Fanguy accept Medicare?
- Annaliesa Fanguy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Annaliesa Fanguy's NPI active?
- Yes — Annaliesa Fanguy's NPI (1760365530) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.