Individual provider Active NPI

Tina J Hermes, NP

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1083667778
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001323A Issued in IN
Practice address
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone
(260) 436-8686
Fax
(260) 459-0036
NPI assigned
May 17, 2006
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71001323A IN Primary

Addresses

Primary practice location

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Mailing address

10528 Coldwater Rd
Fort Wayne, IN 46845-1268
Phone (260) 338-1700

Other practice location 1

10528 Coldwater Rd
Fort Wayne, IN 46845-1268
Phone (260) 338-1700

Other identifiers 1

IdentifierTypeStateIssuer
000000746960OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061122000409 IN Practitioner - Nurse Practitioner 3779581962 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Health LLCGroup PAC ID 7618373234, 7 clinicians

Practice addresses (Care Compare)

105 S Raceway Rd
Suite 135
Indianapolis, IN 46231-1417
Phone (855) 830-8346

10528 Coldwater Rd
Fort Wayne, IN 46845-1268
Phone (260) 338-1700

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onhealthcare LLC CurrentSince Mar 20, 2024 Accepting new patients
The Chiropractic Rehabilitation and Wellness Center, Inc CurrentSince Apr 5, 2024 Accepting new patients
Onhealthcare, LLC Current Accepting new patients
Onhealthcare, LLC CurrentSince Mar 20, 2024 Accepting new patients
Integrative Health LLC CurrentSince Apr 5, 2024 Accepting new patients
Associated Family Medical Consultants PC Past Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

10528 Coldwater Rd
Fort Wayne, IN 46845
Phone (260) 338-1700

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 554-0555

Interoperability endpoints

  • Direct secure messaging: tina.hermesnp.p3@direct.cvr.nextgenshare.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1083667778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10528 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451268",
            "telephone_number": "260-338-1700",
            "fax_number": "260-338-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044133",
            "telephone_number": "260-436-8686",
            "fax_number": "260-459-0036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10528 Coldwater Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451268",
            "country_code": "US",
            "telephone_number": "260-338-1700",
            "fax_number": "260-338-1781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMES",
        "first_name": "TINA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001323A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000746960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.