Ivy Custer, APRN
NPI 1245955095ActiveIndividual· Nurse Practitioner· Fort Wayne, IN
Nurse Practitioner (APRN) in Fort Wayne, Indiana, licensed in IN, with an NPI issued in October 2022. Part D covered 19 prescriptions written in 2024, 58% of them generic.
Overview
| NPI | 1245955095 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Oct 4, 2022 |
| Last updated in NPPES | Mar 23, 2023 |
| Certified by provider | Mar 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71013312A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 19 · 53 30-day fills |
|---|---|
| Total drug cost | $242.43 |
| Generic share | 58% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse practitioners in Fort Wayne
- 1003058454
- 1003461369
- 1003469925
- 1013640200
- 1013764984
- 1033561139
- 1033600531
- 1033669734
- 1043703903
- 1043750771
- 1053070078
- 1053084319
All 536 nurse practitioners in Fort Wayne · All nurse practitioners in Indiana