Individual provider Active NPI

Valerie J Rumple, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1174706691
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71008266A Issued in IN
Practice address
9025 Coldwater Rd # 100
Fort Wayne, IN 46825-2071
Phone
(260) 459-9225
Fax
(260) 800-1512
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 28160626A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71008266A IN Primary

Addresses

Primary practice location

9025 Coldwater Rd # 100
Fort Wayne, IN 46825-2071

Mailing address

9025 Coldwater Rd # 100
Fort Wayne, IN 46825-2071
Phone (260) 459-9225

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
I20181019002049 IN Practitioner - Nurse Practitioner 7012260185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Viking Psychiatry LLCGroup PAC ID 4385093350, 6 clinicians

Practice addresses (Care Compare)

9025 Coldwater Rd
Suite 100a
Fort Wayne, IN 46825-2074
Phone (260) 459-9225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Merit-based Incentive Payment System (MIPS)

Final score
91.37 of 100Reported as group
Quality
80.38
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71008266AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System, Inc. Psychiatric/Mental Health CurrentSince Jun 11, 2021 Accepting new patients
Viking Psychiatry LLC Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Parkview Health System Inc Current Accepting new patients

Locations

9025 Coldwater Rd
#100
Fort Wayne, IN 46825
Phone (260) 459-9225

2710 Lake Ave
Fort Wayne, IN 46805
Phone (260) 373-8070

1720 Beacon St
Fort Wayne, IN 46805
Phone (260) 373-7500

9025 Coldwater Rd
Ste 100A
Fort Wayne, IN 46825
Phone (260) 459-9225

1909 Carew St
Fort Wayne, IN 46805
Phone (260) 481-2800

9025 Coldwater Rd
Ste 100
Fort Wayne, IN 46825
Phone (260) 459-9225

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

3510 Commerce Dr
Warsaw, IN 46580
Phone (260) 459-9225

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1174706691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 COLDWATER RD # 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252071",
            "telephone_number": "260-459-9225",
            "fax_number": "260-800-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 COLDWATER RD # 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252071",
            "telephone_number": "260-459-9225",
            "fax_number": "260-800-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMPLE",
        "first_name": "VALERIE",
        "middle_name": "J",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IN",
            "license": "28160626A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71008266A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.