TAKEYAH ROSENTHALL FNP
NPI 1275218083
Nurse Practitioner - Family in Fort Wayne, IN

Active since June 19, 2023PECOS EnrolledAccepts Medicare Assignment
1313 W WASHINGTON CENTER RD, FORT WAYNE, IN 46825(260) 443-7481(260) 443-7484 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2025, Jun 21, 2023 (2 updates tracked since 2023).

About Takeyah Rosenthall Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAKEYAH ROSENTHALL FNP (NPI 1275218083) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71014019A) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Wayne, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275218083
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAKEYAH ROSENTHALLCredential: FNP
Location Address1313 W WASHINGTON CENTER RDFort Wayne, IN 46825-4142
Mailing Address2621 E Jefferson StWarsaw, IN 46580-3880 · (574) 267-7169 · Fax (574) 269-4189
Fax(260) 443-7484
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 19, 2023
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1275218083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71014019A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71014019A (IN)
1313 W WASHINGTON CENTER RD, Fort Wayne, IN 46825

Secondary Practice Location 1

Location 12520 E DuPont RdFort Wayne, IN 46825-1675 · Phone (260) 416-3000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Takeyah Rosenthall Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123486123
PECOS Enrollment IDI20230623001065
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1313 W WASHINGTON CENTER RD
FORT WAYNE, IN 46825
Case Manager/Care Coordinator
1313 W WASHINGTON CENTER RD
FORT WAYNE, IN 46825
Case Manager/Care Coordinator
1313 W WASHINGTON CENTER RD
FORT WAYNE, IN 46825
Substance Abuse Rehabilitation Facility
1313 W WASHINGTON CENTER RD
FORT WAYNE, IN 46825
Counselor (Addiction (Substance Use Disorder))
1313 W WASHINGTON CENTER RD
FORT WAYNE, IN 46825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Takeyah Rosenthall's NPI number?

The NPI number for Takeyah Rosenthall is 1275218083. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Takeyah Rosenthall located?

Takeyah Rosenthall practices at 1313 W Washington Center Rd, Fort Wayne, IN 46825. The listed phone number is (260) 443-7481.

What is Takeyah Rosenthall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Takeyah Rosenthall enrolled in Medicare?

Yes. Takeyah Rosenthall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Takeyah Rosenthall accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Takeyah Rosenthall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Takeyah Rosenthall was last updated on December 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.