MEDICARE: BEVERLY LYNN MAUGER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71004010A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548529084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY LYNN MAUGER NP

Provider Business Mailing Address
First Line	:	8488 FRITZ ROAD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818
Country	:	US
Telephone Number	:	260-450-9665
Fax Number	:	888-803-6843

Provider Business Practice Location Address
First Line	:	6326 CONSTITUTION DR
Second Line	:
City	:	FT WAYNE
State	:	IN
Zip	:	46804
Country	:	US
Telephone Number	:	260-515-3275
Fax Number	:	888-803-6843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2012
Last Update Date	:	12/08/2025

Similar Medicare Providers

1003813692 — CARDIOSOM OF FT. WAYNE, INC
Practice Location Address:

1625 MAGNAVOX WAY
FT WAYNE, IN
46804-1535

Practice Phone: 888-857-5337
Practice Fax: 260-459-9247

1073510178 — CARDIOSOM LLC DBA MD SLEEP OF FT. WAYNE
Practice Location Address:

1625 MAGNAVOX WAY
FT WAYNE, IN
46804-1535

Practice Phone: 260-459-9248
Practice Fax: 260-459-9247

1083684948 — CARDIOVASCULAR ASSOCIATES OF NORTHEASTERN INDIANA LLC
Practice Location Address:

7900 W JEFFERSON BLVD , SUITE 303
FT WAYNE, IN
46804-4128

Practice Phone: 260-436-6098
Practice Fax: 260-436-3173

1750358347 — DALE FREDERICK FATH OD
Practice Location Address:

7750 W JEFFERSON BLVD
FT WAYNE, IN
46804

Practice Phone: 260-459-9595
Practice Fax: 260-459-9494

1578528790 — HOME CARE SERVICES, INC
Practice Location Address:

6202 CONSTITUTION DR , SUITE C
FT WAYNE, IN
46804-1583

Practice Phone: 260-459-2917
Practice Fax: 260-459-2894

1871537753 — MRS. SUSAN MARIE TIELKER-SHARPE LCSW LMFT ACSW
Practice Location Address:

4656 W JEFFERSON BLVD , SUITE 285
FT WAYNE, IN
46804

Practice Phone: 260-422-9372
Practice Fax: 260-422-0843

Directions to “ BEVERLY LYNN MAUGER NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.