Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jonathan Notelle , ARNP

Nurse Practitioner โ€ข Fort Wayne, IN

Active NPI 1982061701 Individual Practitioner Male Practitioner
Practice location in NPPES

1721 Magnavox Way
Fort Wayne, IN 468041537

Call 2607483650 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1721 Magnavox Way

Fort Wayne, IN 468041537

Telephone 2607483650
Fax 2607483651
Organization at the Same NPPES Address or Phone
Racc Medical Associates Llc Facility NPI 1184976136

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Auburn, IN; Fort Wayne, IN; Warsaw, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare-allowed amount

About $16,726 in 2021

The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2021.

Paid by Medicare

About $13,735 in 2021

The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2021.

30-day fills

155 standardized 30-day fills in 2021

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,529 in 2021

The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2021.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jonathan Notelle has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jonathan Notelle as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fort Wayne and Indiana

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Jonathan Notelle are from 2021.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Jonathan Notelle are from 2021.

524 active clinicians are listed under Nurse Practitioner with a practice address in Fort Wayne, IN (2,582 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Wayne

23.1% of these 524 clinicians have the CMS telehealth indicator.

72.7% of these 524 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2021.

CMS Part B ยท Data Year 2021
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
85 76 $129.00 $74.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
75 75 $175.00 $91.84
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
60 56 $100.00 $51.31
71046 X-ray of chest, 2 views
26 13 $128.00 $14.95
81003 Automated urinalysis test
19 17 $28.00 $2.25

Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D ยท Data Year 2021
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Methylprednisolone Methylprednisolone 53 320 $420.13 49
Cephalexin Cephalexin 42 357 $536.71 40
Azithromycin Azithromycin 29 144 $154.22 28
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 20 200 $208.09 20
Doxycycline Hyclate Doxycycline Hyclate 11 118 $210.33 11

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IN 71006122A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES IN 28202205A

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
201350810 (IN)
Other Identifier Bcbs
1003883 (IN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20200928001599

Enrollment State Jurisdiction

SC

PECOS Control ID

6204134166

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2512 E Dupont Rd Ste 200

Fort Wayne, IN 468251609

Phone: 2607483650

1314 E 7th St Ste 201

Auburn, IN 467062533

Phone: 2607483650

2124 N Biomet Dr

Warsaw, IN 465827858

Phone: 2607483650

6811 Lima Rd

Fort Wayne, IN 468181145

Phone: 2607483650

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Dr. Jared Coffman , MD

Pain Medicine - Interventional Pain Medicine

NPI 1053579151

Doctor of Medicine (M.D.)

Joseph Edwards , NP

Nurse Practitioner - Family

NPI 1699423848

Nurse Practitioner

Mark Fisher , PA-C

Physician Assistant - Medical

NPI 1144215153

Physician Assistant (Certified)

Jason Gaisford , PA-C

Physician Assistant

NPI 1679909931

Physician Assistant (Certified)

Breanna Haglund , PA

Physician Assistant

NPI 1720558786

Physician Assistant

Lacey Harvey , PA-C

Physician Assistant

NPI 1295207488

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location January 02, 2019

Registered at 1721 MAGNAVOX WAY, FORT WAYNE, IN 468041537 (Tel: 2607483650)

๐Ÿ“
Updated Business Mailing Address January 02, 2019

Registered at PO BOX 670, HUNTERTOWN, IN 467480670 (Tel: 2607483650)

๐Ÿ“
Updated Practice Location October 19, 2018

Registered at 2512 E DUPONT RD STE 200, FORT WAYNE, IN 468251609 (Tel: 2607483650)

๐Ÿ‘ค
Provider Name / Credentials Updated October 19, 2018

Recorded as JONATHAN NOTELLE, ARNP

๐Ÿ“
Updated Practice Location April 19, 2018

Registered at 1314 E 7TH ST STE 201, AUBURN, IN 467062533 (Tel: 2607483650)

โœ…
NPI Profile Active July 08, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 08, 2016

Registered at 2512 E DUPONT RD STE 200, FORT WAYNE, IN 468251609 (Tel: 2607483650)

๐Ÿ“
Business Mailing Address (Initial Record) July 08, 2016

Registered at 2512 E DUPONT RD STE 200, FORT WAYNE, IN 468251609 (Tel: 2607483650)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 08, 2016

Recorded as JONATHAN NOTELLE

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2016

Registered Nurse (license number reported to NPPES: IN 28202205A)

๐ŸŸข
Initial NPI Registration & Enumeration January 25, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1982061701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2016
Last Update: August 14, 2019
Sole Proprietor: No

Other Nurse Practitioners in Fort Wayne

All Nurse Practitioners in Fort Wayne

Mailing Address

Po Box 670

Huntertown, IN 467480670

Phone: 2607483650

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.