Jamie Lynn Peppler, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71002887A Issued in IN

Practice address

5910 Homestead Rd
Fort Wayne, IN 46814-4202

Phone

(260) 435-3272

Fax

(260) 435-3275

NPI assigned

Mar 21, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Visiting Nurse and Hospice Home Inc

  • Home Health Agency
  • Fort Wayne, IN
  • NPI 1083751002
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003057027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 HOMESTEAD RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468144202",
            "telephone_number": "260-435-3272",
            "fax_number": "260-435-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 HOMESTEAD RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468144202",
            "telephone_number": "260-435-3272",
            "fax_number": "260-435-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPLER",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28159253A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002887A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Pepple, RBT
• Shana Marie Pepple, MA, BCBA
• Stephan Edwin Pepple, M.D.
• Stephen Alan Pepple
• Walter David Pepple, MD
• Jennifer N Peppler
• Mary K Pequignot, MSED, LMHC
• Melanie L Pequignot, PA
• Regina Pequignot
• Thomas Franklin Pequignot, DDS CCN

• Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.