Individual provider Active NPI

Rebecca Ann Crompton, APRN, CNM

  • Advanced Practice Midwife
  • Fort Wayne, IN
National Provider Identifier
1336767490
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
71010329A Issued in IN
Practice address
10307 Dupont Circle Dr W Ste a
Fort Wayne, IN 46825-1633
Phone
(260) 458-3440
Fax
(260) 458-3441
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 09000344A IN
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X 71010329A IN Primary

Addresses

Primary practice location

10307 Dupont Circle Dr W Ste a
Fort Wayne, IN 46825-1633

Mailing address

11595 N Meridian St Ste 375
Carmel, IN 46032-3950
Phone (317) 575-7304

Other identifiers 1

IdentifierTypeStateIssuer
300042394MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rebecca.pion01@frontier.edu

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220303002057 IN Practitioner - Certified Nurse Midwife (CNM) 0941694194 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010329AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates, LLC Multi-Specialty CurrentSince Mar 15, 2022 Accepting new patients
Seven Hills OB-GYN Associates LLC Multi-Specialty CurrentSince Mar 15, 2022 Accepting new patients
Obstetrics & Gynecology of Indiana, LLC Multi-Specialty Past Accepting new patients

Locations

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

11595 N Meridian St
Ste 375
Carmel, IN 46032
Phone (317) 575-7304

10307 DuPont Circle Dr W
Ste B
Fort Wayne, IN 46825
Phone (260) 443-7420

10307 DuPont Circle Dr W
Ste A
Fort Wayne, IN 46825
Phone (260) 458-3240

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1336767490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11595 N MERIDIAN ST STE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323950",
            "telephone_number": "317-575-7304",
            "fax_number": "317-575-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10307 DUPONT CIRCLE DR W STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251633",
            "telephone_number": "260-458-3440",
            "fax_number": "260-458-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMPTON",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "APRN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "IN",
            "license": "09000344A",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "71010329A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300042394",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rebecca.pion01@frontier.edu",
            "affiliation": "N",
            "address_1": "12528 Golden Harvest Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468459031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.