RISE RECOVERY LLC
NPI 1700771714
Clinic/Center - Rehabilitation, Substance Use Disorder in Fort Wayne, IN

Active since June 10, 2025CLIA 15D2340250 · Waiver
3020 S CALHOUN ST, FORT WAYNE, IN 46807(260) 908-3167 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Rise Recovery Llc NPPES

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

RISE RECOVERY LLC (NPI 1700771714) is a healthcare organization registered as a rehabilitation, substance use disorder in Fort Wayne, Indiana and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Ryan Lawrence Marsden, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1700771714
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameRISE RECOVERY LLC
Location Address3020 S CALHOUN STFort Wayne, IN 46807-1408
Mailing Address112 Lincoln Hwy WNew Haven, IN 46774-2158 · (260) 908-3167
Organization SubpartNo
Authorized OfficialRyan Lawrence MarsdenExecutive Director · (260) 908-3167
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1700771714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
3020 S CALHOUN ST, Fort Wayne, IN 46807

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rise Recovery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Rise Recovery LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Mental Health Counselor
NPI 1760952535
909 E STATE BLVD
Fort Wayne, IN 46805
(260) 481-2700
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1417726936
112 LINCOLN HWY W
New Haven, IN 46774
(260) 908-3167
✔ PECOS5.7 mi
Nurse Practitioner
NPI 1457605511
6525 E 82ND ST STE 210-J
Indianapolis, IN 46250
(317) 771-1140
✔ PECOS93 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2340250

Rise Recovery LLC · Fort Wayne, IN
Active · expires Mar 15, 2028
CLIA Number15D2340250
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorDevona R. Anderson
Laboratory Phone(260) 908-3167
Laboratory LocationRise Recovery LLC3020 S Calhoun St, Fort Wayne, IN 46807
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rise Recovery LLC's NPI number?

The NPI number for Rise Recovery LLC is 1700771714. It was assigned to this organization in the NPPES registry on June 10, 2025.

Where is Rise Recovery LLC located?

Rise Recovery LLC is located at 3020 S Calhoun St, Fort Wayne, IN 46807. The listed phone number is (260) 908-3167.

What is Rise Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Rise Recovery LLC enrolled in Medicare?

Yes. Rise Recovery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rise Recovery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Rise Recovery LLC, in Mental Health Counselor and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rise Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2340250) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rise Recovery LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Rise Recovery LLC 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 Rise Recovery LLC was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.