KRISTEN DETTMER PNP
NPI 1235985938
Nurse Practitioner in Fort Wayne, IN

NPI Status: Active since April 24, 2024

Contact Information

11115 PARKVIEW PLAZA DR
FORT WAYNE, IN
ZIP 46845
Phone: (260) 266-5400
Fax: (260) 425-5715

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  • Individual
  • Female
  • Nurse Practitioner
  • Accepts Insurance

About KRISTEN DETTMER

This page provides the complete NPI Profile along with additional information for Kristen Dettmer, a provider established in Fort Wayne, Indiana with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1235985938 assigned on April 2024. The practitioner's primary taxonomy code is 363L00000X with license number 28210703A (IN). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1235985938
Provider Name
KRISTEN DETTMER PNP
Gender
Female
Entity Type
Individual
Location Address
11115 PARKVIEW PLAZA DR FORT WAYNE, IN 46845
Location Phone
(260) 266-5400
Location Fax
(260) 425-5715
Mailing Address
11109 PARKVIEW PLAZA DR # 117 FORT WAYNE, IN 46845
Is Sole Proprietor?
No
Enumeration Date
04-24-2024
Last Update Date
09-03-2024
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A nurse practitioner (NP) like Kristen Dettmer is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
28210703A
License State
IN
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WP0200XNursing Service Providers

Registered Nurse
Pediatrics

28210703A (IN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 8500 for HSA - HMO
  • Anthem Catastrophic Essential (+ Incentives) - HMO
  • Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
  • Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for KRISTEN DETTMER PNP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235985938, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 9 → 18 → 9 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 8 + 8 + 1 + 0 + 9 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1235985938.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR, DEPT. OF NEONATOLOGY
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Genetic Counselor, MS
11115 PARKVIEW PLAZA DR, ATTN: SARAH KING
FORT WAYNE, IN 46845
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner (Family)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pediatrics (Neonatal-Perinatal Medicine)
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner
11115 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235985938, enumerated as an "individual" on April 24, 2024.

The provider is located at 11115 PARKVIEW PLAZA DR FORT WAYNE, IN 46845 and the phone number is (260) 266-5400.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and CareSource. Please consult your insurance carrier or call the provider to verify.