1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12124 N Biomet DrWarsaw, IN 46582-7858 · Phone (260) 748-3650 · Fax (260) 748-3651
Location 22512 E DuPont Rd Ste 200Fort Wayne, IN 46825-1609 · Phone (260) 748-3650 · Fax (260) 748-3651
Location 31314 E 7th St Ste 201Auburn, IN 46706-2533 · 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jonathan Notelle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bon Secours Medical Group Greenville Specialty Care LLC
456 mi
Cardiovascular Disease
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 389 clinicians in this Medicare group
NPI 1821679580 (864) 603-6099
Bon Secours Ambulatory Services - St. Francis, LLC
460 mi
Urgent Care
1467 WOODRUFF RD STE C
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 78 clinicians in this Medicare group
NPI 1124495643 (864) 458-8126

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

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)
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804
Allen County (260) 748-3650
MR. MARK A FISHER PA-C
Physician Assistant (Medical)
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804
Allen County (260) 748-3650
RACC MEDICAL ASSOCIATES LLC
Physical Medicine & Rehabilitation
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804
Allen County (260) 748-3650
THOMAS A. STRAUB PA
Physician Assistant
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804
Allen County (260) 748-3650
MARY GRACE BOOKMYER PA-C
Physician Assistant
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804
Allen County (260) 748-3650
JASON T. GAISFORD PA-C
Physician Assistant
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804
Allen County (260) 748-3651
KARMEN WILSON NP
Nurse Practitioner
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804
Allen County (260) 748-3650
COFFMAN ANESTHESIOLOGY LLC
Anesthesiology
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804
Allen County (317) 450-5441

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 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.

Where is Jonathan Notelle located?

Jonathan Notelle practices at 1721 Magnavox Way, Fort Wayne, IN 46804. The listed phone number is (260) 748-3650.

What is Jonathan Notelle's specialty?

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

Is Jonathan Notelle enrolled in Medicare?

Yes. Jonathan Notelle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathan Notelle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Notelle reassigns Medicare benefits to 2 organizations: Bon Secours Medical Group Greenville Specialty Care LLC (Greenville, SC) and Bon Secours Ambulatory Services - St. Francis, LLC (Greenville, SC). 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 Jonathan Notelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Notelle accept?

Health plans from First Choice Next list Jonathan Notelle 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 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.