JONATHAN NOTELLE ARNP
NPI 1982061701
Nurse Practitioner in Fort Wayne, IN

Q: What is Jonathan Notelle's NPI number?

The NPI number for Jonathan Notelle is 1982061701. It was assigned to this individual provider in the NPPES registry on January 25, 2016.

Q: What is Jonathan Notelle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Notelle was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 25, 2016PECOS Enrolled

1721 MAGNAVOX WAY, FORT WAYNE, IN 46804(260) 748-3650(260) 748-3651 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 14, 2019, Feb 4, 2019, Jan 2, 2019 and 4 more (7 updates tracked since 2016).

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About Jonathan Notelle Arnp NPPES

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

JONATHAN NOTELLE ARNP (NPI 1982061701) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71006122A) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1982061701

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJONATHAN NOTELLECredential: ARNP

Location Address1721 MAGNAVOX WAYFort Wayne, IN 46804-1537

Mailing AddressPo Box 670Huntertown, IN 46748-0670 · (260) 748-3650 · Fax (260) 748-3651

Phone(260) 748-3650

Fax(260) 748-3651

Sole ProprietorNo

Enumeration DateJanuary 25, 2016

Last NPPES UpdateAugust 14, 20197 updates tracked since enumeration

✔ NPI 1982061701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71006122A

Definition

(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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 28202205A (IN)

1721 MAGNAVOX WAY, Fort Wayne, IN 46804

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Secondary Practice Locations 4

Location 12512 E DuPont Rd Ste 200Fort Wayne, IN 46825-1609 · Phone (260) 748-3650 · Fax (260) 748-3651

Location 21314 E 7th St Ste 201Auburn, IN 46706-2533 · Phone (260) 748-3650 · Fax (260) 748-3651

Location 32124 N Biomet DrWarsaw, IN 46582-7858 · Phone (260) 748-3650 · Fax (260) 748-3651

Location 46811 Lima RdFort Wayne, IN 46818-1145 · Phone (260) 748-3650 · Fax (260) 748-3651

Other Identifiers 2

Medicaid201350810IN

Other1003883IN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Notelle Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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 14

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

DR. JARED COFFMAN MD

Pain Medicine (Interventional Pain Medicine)