PATRICK JOMO
NPI 1275959868
Nurse Anesthetist, Certified Registered in Fort Wayne, IN
About Patrick Jomo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK JOMO (NPI 1275959868) is an individual nurse anesthetist, certified registered in Fort Wayne, Indiana, licensed in Indiana (28165197A) and active in the NPI registry since March 2014. He is affiliated with Parkview Noble Hospital and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patrick Jomo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Patrick Jomo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Angola, IN 46703
- Reassigned Medicare billing, Indiana enrollment
- 133 clinicians in this Medicare group
Van Wert, OH 45891
- Reassigned Medicare billing, Indiana enrollment
- 100 clinicians in this Medicare group
Elkhart, IN 46514
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Great Lakes Anesthesia PC
- 60 clinicians in this Medicare group
La Porte, IN 46350
- Reassigned Medicare billing, Indiana enrollment
- 141 clinicians in this Medicare group
Pensacola, FL 32502
- Reassigned Medicare billing, Indiana enrollment
- 57 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkview Noble Hospital
Acute Care Hospitals · Kendallville, INParkview Lagrange Hospital
Critical Access Hospitals · Lagrange, INFrequently 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 Patrick Jomo's NPI number?
The NPI number for Patrick Jomo is 1275959868. It was assigned to this individual provider in the NPPES registry on March 6, 2014.
Where is Patrick Jomo located?
Patrick Jomo practices at 4628 Craftsbury Cir, Fort Wayne, IN 46818. The listed phone number is (260) 418-8599.
What is Patrick Jomo's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Patrick Jomo enrolled in Medicare?
Yes. Patrick Jomo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Patrick Jomo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Jomo reassigns Medicare benefits to 5 organizations: Cameron Memorial Community Hospital Inc (Angola, IN), Clinical Colleagues LLC (Van Wert, OH), Great Lakes Anesthesia, P.C. (Elkhart, IN), Jebs Anesthesia Consultants, LLC (La Porte, IN) and Ams Northern Indiana LLC (Pensacola, FL). 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 Patrick Jomo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patrick Jomo accept?
Health plans from CareSource list Patrick Jomo 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.
Is Patrick Jomo affiliated with any hospitals?
According to CMS data, Patrick Jomo is affiliated with Parkview Noble Hospital and Parkview Lagrange Hospital.
When was this NPI record last updated?
The NPPES record for Patrick Jomo was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Patrick Jomo · NPI 1275959868
Nurse Anesthetist, Certified Registered physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since March 6, 2014.
## Identity
- **NPI:** 1275959868 (Entity type: Individual)
- **Enumerated:** March 6, 2014
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 28165197A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4628 CRAFTSBURY CIR, Fort Wayne, IN 46818-2063
- **Phone:** (260) 418-8599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Cameron Memorial Community Hospital Inc (NPI 1730357245, Angola, IN); Clinical Colleagues LLC (NPI 1992725766, Van Wert, OH); Great Lakes Anesthesia, P.C. (NPI 1720039977, Elkhart, IN); Jebs Anesthesia Consultants, LLC (NPI 1790447761, La Porte, IN); Ams Northern Indiana LLC (NPI 1427619840, Pensacola, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 12, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1275959868) · Data from the CMS NPPES public registry.