TAKEYAH ROSENTHALL FNP
NPI 1275218083
Nurse Practitioner - Family in Fort Wayne, IN
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
6Medicare enrollment records show Takeyah Rosenthall reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46806
- Reassigned Medicare billing, Indiana enrollment
- 260 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 63 clinicians in this Medicare group
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 166 clinicians in this Medicare group
Hanover, IN 47243
- Reassigned Medicare billing, Indiana enrollment
- 220 clinicians in this Medicare group
Bedford, IN 47421
- Reassigned Medicare billing, Indiana enrollment
- 156 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
FORT WAYNE, IN 46825
FORT WAYNE, IN 46825
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.
Which organizations bill Medicare for Takeyah Rosenthall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Takeyah Rosenthall reassigns Medicare benefits to 6 organizations: Bowen Health Inc (Fort Wayne, IN), Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN), Inphynet Primary Care Physicians Midwest, S.C. (Fort Wayne, IN), Pic Indiana PC (Mishawaka, IN), Fast Pace Medical Clinic PLLC (Hanover, IN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Takeyah Rosenthall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Takeyah Rosenthall accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Cigna Healthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Takeyah Rosenthall, FNP · NPI 1275218083
Family physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since June 19, 2023.
## Identity
- **NPI:** 1275218083 (Entity type: Individual)
- **Enumerated:** June 19, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71014019A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1313 W WASHINGTON CENTER RD, Fort Wayne, IN 46825-4142
- **Phone:** (260) 443-7481 · **Fax:** (260) 443-7484
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Bowen Health Inc (NPI 1023668183, Fort Wayne, IN); Emergency Professionals Of Indiana, P.C. (NPI 1013951219, Fort Wayne, IN); Inphynet Primary Care Physicians Midwest, S.C. (NPI 1528090610, Fort Wayne, IN); Pic Indiana PC (NPI 1942546890, Mishawaka, IN); Fast Pace Medical Clinic PLLC (NPI 1649770769, Hanover, IN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 17, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1275218083) · Data from the CMS NPPES public registry.