Active NPI
Jonathan Michael Fansler, NP
- Nurse Practitioner
- Lagrange, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71012167A
- Practice address
- 2500 N Detroit St
Lagrange, IN 46761-1158 - Phone
- (260) 463-2133
- Fax
- (260) 463-3775
- NPI assigned
- Jan 11, 2022
- Last updated
- Sep 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71012167A | IN | Primary |
| Registered Nurse | 163W00000X | 28234112A | IN |
Addresses
Primary practice location
2500 N Detroit St
Lagrange, IN 46761-1158
Mailing address
PO Box 236
Lagrange, IN 46761-0236
Phone (260) 463-2133
Other practice location 1
11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739
Phone (260) 266-7100
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | jfansler482303@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 N Detroit St
Lagrange, IN 46761-1158
Phone (260) 463-2133
Hospital & facility affiliations
- Parkview Dekalb Hospital
- Parkview Wabash Hospital, Inc
- Parkview Huntington Hospital
- Parkview Noble Hospital
- Parkview Whitley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 77.41
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012167A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Internal Medicine Associates, PC | Nurse Practitioner | Current | Accepting new patients |
| Northeast Internal Medicine Associates, PC | Past | Accepting new patients |
Locations
2500 N Detroit St
Lagrange, IN 46761
Phone (260) 463-2133
Interoperability endpoints
- jfansler482303@direct.parkviewexchange.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Lagrange, IN
- NPI 1174518500
Nurse Practitioner
-
- Primary Care Nurse Practitioner
- Lagrange, IN
- NPI 1366859779
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Noble Hospital
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
dba Parkview Dekalb Hospital
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
dba Parkview Huntington Hospital
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
dba Parkview Wabash Hospital
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
-
dba Parkview Whitley Hospital
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
-
dba Parkview Whitley Hospital
- Land Ambulance
- Columbia City, IN
- NPI 1497764450
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1366193377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "LAGRANGE",
"state": "IN",
"postal_code": "467610236",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N DETROIT ST",
"city": "LAGRANGE",
"state": "IN",
"postal_code": "467611158",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775"
}
],
"practiceLocations": [
{
"address_1": "11050 Parkview Circle Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451739",
"country_code": "US",
"telephone_number": "260-266-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANSLER",
"first_name": "JONATHAN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-11",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71012167A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28234112A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfansler482303@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lagrange, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.