Individual provider Active NPI

Victoria Ong-Murrell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Warsaw, IN
National Provider Identifier
1205515244
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71014102A Issued in IN
Practice address
3510 Commerce Dr
Warsaw, IN 46580-3925
Phone
(604) 599-2252
Fax
(608) 001-5122
NPI assigned
Jul 17, 2023
Last updated
Sep 26, 2024By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71014102A IN Primary

Addresses

Primary practice location

3510 Commerce Dr
Warsaw, IN 46580-3925

Mailing address

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

Other names 1

  • Victoria Ong Former name

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
I20230814002974 IN Practitioner - Nurse Practitioner 4486016078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71014102AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Viking Psychiatry LLC Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Oaklawn Psychiatric Center, Inc. CurrentSince Jul 12, 2023 Accepting new patients
Oaklawn Psychiatric Center, Inc. CurrentSince Jul 12, 2023 Accepting new patients

Locations

2600 Oakland Ave
Elkhart, IN 46517
Phone (574) 283-1234

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

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

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

330 Lakeview Dr
Goshen, IN 46528
Phone (219) 533-1234

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, 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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1205515244",
    "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": "3510 COMMERCE DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803925",
            "telephone_number": "604-599-2252",
            "fax_number": "608-001-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG-MURRELL",
        "first_name": "VICTORIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71014102A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "ONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.