Individual provider Active NPI

Frederica Ann Nodine, NP-C

  • Family Nurse Practitioner
  • Bluffton, IN
National Provider Identifier
1316176258
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0609289 Issued in IN
Practice address
360 N Main St
Suite E
Bluffton, IN 46714-2041
Phone
(260) 353-3375
Fax
(260) 353-3377
NPI assigned
Jul 14, 2009
Last updated
Feb 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0609289 IN Primary

Addresses

Primary practice location

360 N Main St
Suite E
Bluffton, IN 46714-2041

Mailing address

360 N Main St
Suite E
Bluffton, IN 46714-2041
Phone (260) 353-3375

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
I20090822000083 IN Practitioner - Nurse Practitioner 8325192594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5910 Homestead Rd
Fort Wayne, IN 46814-4202
Phone (260) 435-3240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0609289INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse and Hospice Home Inc CurrentSince Mar 16, 2019 Accepting new patients
Family Hospice of Northeast Indiana Inc Past Accepting new patients

Locations

108 S Jefferson St
Berne, IN 46711
Phone (260) 435-3222

5910 Homestead Rd
Fort Wayne, IN 46814
Phone (260) 435-3222

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1316176258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N MAIN ST",
            "address_2": "SUITE E",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142041",
            "telephone_number": "260-353-3375",
            "fax_number": "260-353-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N MAIN ST",
            "address_2": "SUITE E",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142041",
            "telephone_number": "260-353-3375",
            "fax_number": "260-353-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODINE",
        "first_name": "FREDERICA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F0609289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, IN

Sources for this page

Verify at the official NPI Registry.