Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982061701 Individual Practitioner Male Practitioner

Jonathan Notelle , ARNP

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Jonathan Notelle, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 1721 MAGNAVOX WAY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1721 Magnavox Way

Fort Wayne, IN 468041537

Telephone 2607483650
Fax 2607483651
Associated Practice Facility / Clinic
🏢 Racc Medical Associates Llc Facility NPI 1184976136

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
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

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201350810 (IN)
Commercial Insurance / Payer ID Bcbs
1003883 (IN)

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Jared Coffman , MD

Pain Medicine - Interventional Pain Medicine

NPI 1053579151

Doctor of Medicine (M.D.)

Mark Fisher , PA-C

Physician Assistant - Medical

NPI 1144215153

Physician Assistant (Certified)

NPI 1194756411

Doctor of Medicine (M.D.)

Lacey Harvey , PA-C

Physician Assistant

NPI 1295207488

Physician Assistant (Certified)

Kara Hoover , NP

Nurse Practitioner - Family

NPI 1326534132

Nurse Practitioner

Cortnie Patton , NP

Nurse Practitioner

NPI 1437700101

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 02, 2019

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

📍
Updated Business Mailing Address January 02, 2019

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

📍
Updated Practice Location October 19, 2018

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

👤
Provider Name / Credentials Updated October 19, 2018

Recorded as JONATHAN NOTELLE, ARNP

📍
Updated Practice Location April 19, 2018

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

NPI Profile Active July 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2016

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

📍
Updated Business Mailing Address July 08, 2016

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

👤
Provider Name / Credentials Updated July 08, 2016

Recorded as JONATHAN NOTELLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2016

Registered Nurse (License #28202205A in IN)

🟢
Initial NPI Registration & Enumeration January 25, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

Po Box 670

Huntertown, IN 467480670

Phone: 2607483650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.