Individual provider Active NPI

Magdalena Ruth Mannes, NP

  • Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1265819775
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71005492A Issued in IN
Practice address
2101 E. Coliseum Blvd
Walb Student Union Room 234
Fort Wayne, IN 46805
Phone
(765) 494-0111
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28141994A IN
Family Nurse Practitioner 363LF0000X 71005492A IN
Nurse Practitioner 363L00000X 71005492A IN Primary

Addresses

Primary practice location

2101 E. Coliseum Blvd
Walb Student Union Room 234
Fort Wayne, IN 46805

Mailing address

2101 E. Coliseum Blvd Walb Room 236 Fort Wayne in 46805
Fort Wayne, IN 46805
Phone (260) 481-5749

Other practice location 1

1500 Provident Dr Ste B
Warsaw, IN 46580-3297
Phone (574) 269-8301

Other practice location 2

7920 W Jefferson Blvd
Fort Wayne, IN 46804-4168
Phone (260) 484-8551

Other practice location 3

11136 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Phone (260) 484-8551

Other practice location 4

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone (260) 484-8551

Other practice location 5

10475 Crosspoint Blvd Ste 250
Indianapolis, IN 46256-3387
Phone (866) 949-0108

Other identifiers 2

IdentifierTypeStateIssuer
71005492AOtherININDIANA NP PRESCRIPTIVE AUTHORITY
201306250MedicaidIN

Other names 1

  • Mrs. Magdalena Ruth Schwartz 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
I20150804004742 IN Practitioner - Nurse Practitioner 5698089647 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
Iris Medical GroupGroup PAC ID 0648653360, 82 clinicians

Practice addresses (Care Compare)

5425 Rosslyn Ave
Indianapolis, IN 46220-3323
Phone (615) 274-9767

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28141994AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Northeast PC CurrentSince Aug 31, 2015 Accepting new patients
Orthopaedics Northeast PC CurrentSince Aug 31, 2015 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7920 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-2668

11136 Parkview Circle Dr
Fort Wayne, IN 46845

5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203

5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551

1500 Provident Dr
Ste B
Warsaw, IN 46580
Phone (574) 269-8301

Interoperability endpoints

  • Direct secure messaging: ms_mschwa18@landmarkhealth-direct.org

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 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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1265819775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E. COLISEUM BLVD WALB ROOM 236 FORT WAYNE IN 46805",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46805",
            "telephone_number": "260-481-5749",
            "fax_number": "765-496-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E. COLISEUM BLVD",
            "address_2": "WALB STUDENT UNION ROOM 234",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46805",
            "telephone_number": "765-494-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Provident Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465803297",
            "country_code": "US",
            "telephone_number": "574-269-8301",
            "fax_number": "574-269-8302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7920 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044168",
            "country_code": "US",
            "telephone_number": "260-484-8551",
            "fax_number": "260-482-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11136 Parkview Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451730",
            "country_code": "US",
            "telephone_number": "260-484-8551",
            "fax_number": "260-482-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 N Clinton St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468255886",
            "country_code": "US",
            "telephone_number": "260-484-8551",
            "fax_number": "260-482-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10475 Crosspoint Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462563387",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNES",
        "first_name": "MAGDALENA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2025-04-21",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28141994A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005492A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005492A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA NP PRESCRIPTIVE AUTHORITY",
            "identifier": "71005492A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201306250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDALENA",
            "last_name": "SCHWARTZ",
            "middle_name": "RUTH",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.