Individual provider Active NPI

Nicholas Ramer

  • Nurse Practitioner
  • Grabill, IN
National Provider Identifier
1114370152
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28170733A Issued in IN
Practice address
13430 Main St
Grabill, IN 46741-2001
Phone
(260) 469-6604
NPI assigned
Jul 14, 2016
Last updated
Nov 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28170733A IN Primary

Addresses

Primary practice location

13430 Main St
Grabill, IN 46741-2001

Mailing address

3926 New Vision Dr
BLDG H
Fort Wayne, IN 46845-1712
Phone (260) 266-8213

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
I20161118001066 IN Practitioner - Nurse Practitioner 9436438223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians
Hospitalist Physicians of Indiana PCGroup PAC ID 1052795986, 148 clinicians

Practice addresses (Care Compare)

2516 E Dupont Rd
Fort Wayne, IN 46825-1608
Phone (260) 434-6076

7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 432-2297

7938 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 436-8583

7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

7952 W Jefferson Blvd
The Orthopedic Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-2999

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2836

7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-6105

7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 969-7280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28170733AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Medical Group LLC Nurse Practitioner CurrentSince Feb 2, 2021 Accepting new patients
Hospitalist Physicians of Indiana, PC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Lutheran Medical Group LLC CurrentSince Feb 2, 2021 Accepting new patients

Locations

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

7910 W Jefferson Blvd
Ste 210
Fort Wayne, IN 46804
Phone (260) 435-6722

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2836

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1114370152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 NEW VISION DR",
            "address_2": "BLDG H",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451712",
            "telephone_number": "260-266-8213",
            "fax_number": "260-458-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 MAIN ST",
            "city": "GRABILL",
            "state": "IN",
            "postal_code": "467412001",
            "telephone_number": "260-469-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMER",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28170733A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grabill, IN

Sources for this page

Verify at the official NPI Registry.