Active NPI
Emeri C Kinnamon, NP
- Nurse Practitioner
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71008224A
- Practice address
- 3909 New Vision Dr
Fort Wayne, IN 46845-1725 - Phone
- (260) 469-6610
- Fax
- (260) 969-3065
- NPI assigned
- Jun 25, 2018
- Last updated
- Jul 11, 2025
- Sex
- Female
- 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 | 71008224A | IN | Primary |
| Registered Nurse | 163W00000X | 28216134A | IN |
Addresses
Primary practice location
3909 New Vision Dr
Fort Wayne, IN 46845-1725
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other names 1
- Emeri C Taivalkoski
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | etaivalkoski51364@direct.eskenazihealth.edu | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | ekinnamon673289@Direct.Parkviewexchange.com | ||
| Direct Messaging Address | etaivalkoski51364@direct.eskenazihealth.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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 John Kissinger Dr
Wabash, IN 46992-1648
1104 N Wayne St
Parkview Wabash Health Clinic North Manch
North Manchester, IN 46962-1001
Phone 2609822102260569
2708 Guilford St
Huntington, IN 46750-9701
Phone (260) 355-3900
8 John Kissinger Dr
Wabash, IN 46992-1648
Phone (260) 563-7451
817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590
885 W Connexion Way
200 PPG First Care Walk in Clinic
Columbia City, IN 46725-1045
Phone (260) 248-9260
8911 Liberty Mills Rd
Fort Wayne, IN 46804-6311
Phone (260) 373-9465
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28216134A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Nurse Practitioner | Current | Accepting new patients |
| Eskenazi Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Eskenazi Medical Group Inc | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Parkview Wabash Hospital, Inc. | Current | Accepting new patients | |
| Parkview Health System Inc | Nurse Practitioner | Current | Accepting new patients |
| Parkview Wabash Hospital, Inc. | Current | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
3909 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 373-8000
2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600
5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818
720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
1104 N Wayne St
North Manchester, IN 46962
Phone (260) 982-2102
Interoperability endpoints
- ekinnamon673289@direct.parkviewexchange.com
- etaivalkoski51364@direct.eskenazihealth.edu
Organizations & group practices 7
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.
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
Nurse Practitioner
-
dba Parkview Wabash Multi-Specialty Physicians' Group
- Family Medicine Physician
- Wabash, IN
- NPI 1891176590
-
- Adult Medicine Physician
- Indianapolis, IN
- NPI 1730451063
Nurse Practitioner
-
dba Eskenazi Health
- Nurse Practitioner
- Indianapolis, IN
- NPI 1104027879
-
dba Lifestyle Medicine Clinic
- Preventive Medicine/Occupational Environmental Medicine Physician
- Indianapolis, IN
- NPI 1811407729
-
dba Parkview Wabash Rural Health Clinic
- Rural Health Clinic/Center
- Wabash, IN
- NPI 1982103511
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1871311779
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Huntington Hospital
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
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": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1396230140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451725",
"telephone_number": "260-469-6610",
"fax_number": "260-969-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNAMON",
"first_name": "EMERI",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71008224A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28216134A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "etaivalkoski51364@direct.eskenazihealth.edu",
"affiliation": "N",
"address_1": "Eskenazi Health West 38th Street",
"address_2": "5515 38th St",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "46254",
"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": "3909 New Vision Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451725",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "3909 New Vision Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451725",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ekinnamon673289@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "3909 New Vision Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451725",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "etaivalkoski51364@direct.eskenazihealth.edu",
"affiliation": "N",
"address_1": "Eskenazi Health West 38th Street",
"address_2": "5515 38th St",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "46254",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EMERI",
"last_name": "TAIVALKOSKI",
"middle_name": "C",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.