NPIMap

Individual provider Active NPI

Pamela Kinder Fountain, MSN, RNC, APRN-BC

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1194955757
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
#71001329A Issued in IN
Practice address
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone
(260) 434-7088
Fax
(260) 435-7394
NPI assigned
Jul 16, 2009
Last updated
Mar 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X #71001329A IN Primary
Gerontology Nurse Practitioner 363LG0600X #71001329A IN
Psychiatric/Mental Health Registered Nurse 163WP0808X 28108484A IN

Addresses

Primary practice location

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Mailing address

7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 434-6377

Other identifiers 1

IdentifierTypeStateIssuer
201006320MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000806 IN Practitioner - Nurse Practitioner 3173651619 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rpinmd LLCGroup PAC ID 4183014616, 13 clinicians
Rounding ProvidersGroup PAC ID 5496947764, 15 clinicians

Practice addresses (Care Compare)

6326 Constitution Dr
Fort Wayne, IN 46804-1518
Phone (260) 515-3275

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
#71001329AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RP Care LLC Family CurrentSince Jan 17, 2017 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Jan 9, 2019 Accepting new patients
Hospital Care Group, P.C. CurrentSince Mar 1, 2026 Accepting new patients
Hospitalist Physicians of Indiana, PC CurrentSince Sep 27, 2023 Accepting new patients
S4 Specialty Consultants LLC CurrentSince Oct 21, 2022 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Jan 9, 2019 Accepting new patients
Rounding Providers Family CurrentSince Sep 21, 2010 Accepting new patients
S.T.a.R. Care Services, LLC CurrentSince Jun 1, 2023 Accepting new patients
Rpinmd LLC CurrentSince Feb 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC CurrentSince Jan 28, 2019 Accepting new patients
Astrum Wellness and Recovery LLC CurrentSince Nov 26, 2023 Accepting new patients
St Joseph Medical Group Inc CurrentSince Oct 29, 2012 Accepting new patients
St Joseph Medical Group Inc CurrentSince Oct 29, 2012 Accepting new patients
Psychiatric Management Services CurrentSince Jan 20, 2020 Accepting new patients

Locations

2725 Enterprise Dr
Anderson, IN 46013
Phone (317) 870-1396

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

2700 Lafayette St
Fort Wayne, IN 46806
Phone (219) 745-5415

3955 W Washington Center Rd
Fort Wayne, IN 46818
Phone (260) 800-3601

3955 W Washington Center Rd
#R
Fort Wayne, IN 46818

601 E Taber St
Fort Wayne, IN 46803
Phone (260) 702-0925

6326 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 515-3275

7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-2298

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

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

800 Broadway
Ste 204
Fort Wayne, IN 46802
Phone (260) 420-4884

8465 Keystone Xing
Ste 210
Indianapolis, IN 46240

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

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

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 10

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1194955757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-434-6377",
            "fax_number": "260-434-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-434-7088",
            "fax_number": "260-435-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "PAMELA",
        "middle_name": "KINDER",
        "name_prefix": "Ms.",
        "credential": "MSN, RNC, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "#71001329A",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "#71001329A",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28108484A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201006320",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.