Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jonathan Michael Fansler , NP

Nurse Practitioner โ€ข Lagrange, IN

Active NPI 1366193377 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2500 N Detroit St
Lagrange, IN 467611158

Call 2604632133 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

2500 N Detroit St

Lagrange, IN 467611158

Telephone 2604632133
Fax 2604633775
Organization at the Same NPPES Address or Phone
Northeast Internal Medicine Associates, Pc Facility NPI 1174518500

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 1 additional practice-address record in Fort Wayne, IN. See the list

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

CMS Doctors and Clinicians lists 1 group name: Northeast Internal Medicine Associates, Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Medicare patients

64 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $7,048 in 2024

The total amount Medicare approved for these services in 2024. 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, 2024.

Paid by Medicare

About $5,466 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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, 2024.

30-day fills

388 standardized 30-day fills in 2024

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

$6,655 in 2024

The total cost of these prescriptions in 2024, 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, 2024.

Open Payments general payments, program year 2025

All general payments: $38.97 across 2 records.

By nature of payment

  • Food and Beverage: $38.97 across 2 records.

Reporting-company totals

  • Pfizer Inc.: $38.97 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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 Fansler 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 Fansler 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 Lagrange and Indiana

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,371 clinicians with data). Median for this group: 256. Middle half: 110 to 610.

Too few clinicians listed under Nurse Practitioner in Lagrange have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,371 clinicians with data). Median for this group: $19,135. Middle half: $7,958 to $39,717.

Too few clinicians listed under Nurse Practitioner in Lagrange have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,371 clinicians with data). Median for this group: $13,749. Middle half: $5,619 to $28,891.

Too few clinicians listed under Nurse Practitioner in Lagrange have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Nurse Practitioner in Indiana (2024, 1,448 clinicians with data). Median for this group: 494. Middle half: 122 to 1,811.

Too few clinicians listed under Nurse Practitioner in Lagrange have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,448 clinicians with data). Median for this group: $35,570. Middle half: $1,755 to $208,754.

Too few clinicians listed under Nurse Practitioner in Lagrange have Medicare Part D data for 2024 to compare.

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

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

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $38.97.

Manufacturer Payment Nature Product Type Amount ($)
Pfizer Inc.
Food and Beverage
In-kind items and services
ELIQUIS General $23.18
Pfizer Inc.
Food and Beverage
In-kind items and services
ELIQUIS General $15.79

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 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, 2022โ€“2024; 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
50 29 $134.50 $113.04
36415 Insertion of needle into vein for collection of blood sample
18 18 $12.00 $8.65
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
17 17 $20.00 $5.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 11 $98.00 $76.32

Source: CMS Part B by Provider and Service, 2024; 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 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Gabapentin Gabapentin 92 3,068 $1,398.20 43
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 76 564 $1,180.19 28
Oxycodone Hcl Oxycodone Hcl 60 581 $701.84 22
Morphine Sulfate Er Morphine Sulfate 24 659 $707.96 โ€”
Lidocaine Hcl Viscous Lidocaine Hcl 24 215 $803.88 โ€”
Sertraline Hcl Sertraline Hcl 22 704 $36.77 โ€”
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 21 217 $232.45 โ€”
Lidocaine Lidocaine 14 255 $648.44 11
Olanzapine Olanzapine 14 430 $101.35 โ€”
Duloxetine Hcl Duloxetine Hcl 11 432 $108.78 โ€”
Naloxone Hcl Naloxone Hcl 11 74 $735.05 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IN 71012167A

(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 28234112A

(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

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

I20220310000784

Enrollment State Jurisdiction

IN

PECOS Control ID

4880089846

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Northeast Internal Medicine Associates, Pc

2500 N Detroit St, Lagrange, IN 467611158

Phone: 2604632133

Secondary Practice Locations

11050 Parkview Circle Dr

Fort Wayne, IN 468451739

Phone: 2602667100

Clinicians Sharing This Practice Address or Phone

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

35 listed
Dr. Musa Abdalla , MD

Family Medicine

NPI 1548552375

Doctor of Medicine (M.D.)

Dr. Ahad Ayaz , MD

Internal Medicine

NPI 1497160642

Doctor of Medicine (M.D.)

Dr. Aditi Bawa , MD

Internal Medicine

NPI 1184240269

Doctor of Medicine (M.D.)

Courtney Boggs

Nurse Practitioner - Family

NPI 1861844037
Elizabeth Burkhart , NP

Nurse Practitioner

NPI 1558712646

Nurse Practitioner

Megan Buuck , FNP

Nurse Practitioner - Family

NPI 1578054193

Family Nurse Practitioner

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 September 19, 2025

Registered at 2500 N DETROIT ST, LAGRANGE, IN 467611158 (Tel: 2604632133)

๐Ÿ“
Updated Business Mailing Address September 19, 2025

Registered at PO BOX 236, LAGRANGE, IN 467610236 (Tel: 2604632133)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2025

Nurse Practitioner (license number reported to NPPES: IN 71012167A)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2022

Registered Nurse (license number reported to NPPES: IN 28234112A)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2022

Nurse Practitioner (license number reported to NPPES: IN 71012167A)

โœ…
NPI Profile Active January 11, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 11, 2022

Registered at 11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 468451739 (Tel: 2602667100)

๐Ÿ“
Business Mailing Address (Initial Record) January 11, 2022

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701 (Tel: 2602667100)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 11, 2022

Recorded as JONATHAN FANSLER, NP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2022

Registered Nurse (license number reported to NPPES: IN 28234112A)

๐ŸŸข
Initial NPI Registration & Enumeration January 11, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366193377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2022
Last Update: September 19, 2025
Sole Proprietor: No

Other Nurse Practitioners in Lagrange

Mailing Address

Po Box 236

Lagrange, IN 467610236

Phone: 2604632133

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.