Provider Demographics
NPI:1144331752
Name:HOOPINGARNER, DARCY D (FNP)
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:D
Last Name:HOOPINGARNER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11109 PARKVIEW PLAZA DR # 117
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4665 S STATE ROAD 5
Practice Address - Street 2:
Practice Address - City:SOUTH WHITLEY
Practice Address - State:IN
Practice Address - Zip Code:46787
Practice Address - Country:US
Practice Address - Phone:260-248-9980
Practice Address - Fax:260-248-9981
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001566A363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000659665OtherANTHEM
IN200865850Medicaid
IN351972384 MPOtherSAGAMORE
IN351972384-039OtherTRICARE
IN000000528690OtherANTHEM
IN200865850Medicaid
IN000000659665OtherANTHEM