Individual provider Active NPI

Ronda Owens-Dehmer, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1245642024
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71004947A Issued in IN
Practice address
14074 Trade Center Dr Ste 127
Fishers, IN 46038-4568
Phone
(317) 358-9022
NPI assigned
May 28, 2014
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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 71004947A IN Primary

Addresses

Primary practice location

14074 Trade Center Dr Ste 127
Fishers, IN 46038-4568

Mailing address

14074 Trade Center Dr Ste 127
Fishers, IN 46038-4568
Phone (317) 779-2947

Other identifiers 1

IdentifierTypeStateIssuer
201235130MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@personcenteredmentalwellnessllc.sprucecare.com

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
I20140718000820 IN Practitioner - Nurse Practitioner 4385860808 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8626 E 116TH St
Suite 250
Fishers, IN 46038-2853
Phone (317) 779-2947

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71004947AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Indiana Inc. Psychiatric/Mental Health CurrentSince Jun 16, 2014 Accepting new patients
Person Centered Mental Wellness, LLC CurrentSince Jan 16, 2020 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2009 Brown St
Anderson, IN 46016
Phone (765) 393-3891

697 Pro Med Ln
Carmel, IN 46032
Phone (317) 574-0055

14074 Trade Center Dr
Ste 127
Fishers, IN 46038
Phone (317) 358-9022

14074 Trade Center Dr
Ste 205
Fishers, IN 46038
Phone (317) 779-2947

8626 E 116th St
Ste 250
Fishers, IN 46038
Phone (317) 459-5221

17840 Cumberland Rd
Noblesville, IN 46060
Phone (317) 773-6864

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

Organizations & group practices 4

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1245642024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR STE 127",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384568",
            "telephone_number": "317-779-2947",
            "fax_number": "317-981-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR STE 127",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384568",
            "telephone_number": "317-358-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS-DEHMER",
        "first_name": "RONDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71004947A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201235130",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@personcenteredmentalwellnessllc.sprucecare.com",
            "affiliation": "N",
            "address_1": "14074 Trade Center Dr Ste 127",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460384568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.