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Active NPI 1366193377 Individual Practitioner Male Practitioner

Jonathan Michael Fansler , NP

Nurse Practitioner • Lagrange, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathan Fansler, NP is a certified Nurse Practitioner practicing in Lagrange, IN. With approximately 5 years of clinical experience since completing medical education in 2021, Jonathan Fansler delivers high-quality medical care to the local community at 2500 N DETROIT ST.

Jonathan Fansler is affiliated with Northeast Internal Medicine Associates, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, routine electrocardiogram (ecg) using at least 12 leads with tracing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 N Detroit St

Lagrange, IN 467611158

Telephone 2604632133
Fax 2604633775
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lagrange, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.2 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Lagrange, IN (2620 Statewide)

Telehealth Adoption Rate
30.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
23.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fansler (5 Years) 5 Yrs
Lagrange Specialty Average (10.2 Years) 10.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description 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

Medical Specialties & State Licenses

CMS Verified: 2025-09-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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

State License 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.

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

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

40 Associated Practitioners
Chelsea Maucher , NP

Nurse Practitioner - Acute Care

NPI 1003353038

Nurse Practitioner

Dr. Shilpa Kashyap , MD

Radiology - Diagnostic Radiology

NPI 1003888116

Doctor of Medicine (M.D.)

Blake Weimer , NP

Nurse Practitioner - Family

NPI 1023732443

Nurse Practitioner

Dr. Vijay Kamineni , MD

Internal Medicine

NPI 1043278294

Doctor of Medicine (M.D.)

Rylee Hackworth , PA

Physician Assistant - Medical

NPI 1063104719

Physician Assistant

Lauren Fiandt , AGNP-BC

Nurse Practitioner

NPI 1114449329

Adult-Gerontology Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location September 19, 2025

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

📍
Updated Business Mailing Address September 19, 2025

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2025

Nurse Practitioner (License #71012167A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2022

Registered Nurse (License #28234112A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2022

Nurse Practitioner (License #71012167A in IN)

NPI Profile Active January 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2022

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

📍
Updated Business Mailing Address January 11, 2022

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

👤
Provider Name / Credentials Updated January 11, 2022

Recorded as JONATHAN FANSLER, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2022

Registered Nurse (License #28234112A in IN)

🟢
Initial NPI Registration & Enumeration January 11, 2022

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: 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

Mailing Address

Po Box 236

Lagrange, IN 467610236

Phone: 2604632133

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.