Active NPI
Kimberly Schoengart, ANP
- Adult Health Nurse Practitioner
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 71004155A
- Practice address
- 3512 Stellhorn Rd
Fort Wayne, IN 46815-4631 - Phone
- (260) 483-9081
- Fax
- (260) 483-9196
- NPI assigned
- Oct 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71004155A | IN | Primary |
Addresses
Primary practice location
3512 Stellhorn Rd
Fort Wayne, IN 46815-4631
Mailing address
PO Box 392552
Pittsburgh, PA 15251-9500
Phone (260) 483-9081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247
306 W Main St
Suite 512
Frankfort, KY 40601-1840
Phone (855) 743-2247
828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081
8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extended Care Specialists, Inc | Current | Accepting new patients | |
| Healogics Specialty Physicians of Indiana, LLC | Current | Accepting new patients | |
| Eventus WH Midwest Care, LLC | Current | Accepting new patients | |
| Eventus Ecs - Kentucky, PLLC | Current | Accepting new patients | |
| Eventus Wholehealth Midwest Inc | Current | Accepting new patients | |
| Eventus Ecs, Inc | Current | Accepting new patients |
Locations
1515 N Madison Ave
#H
Anderson, IN 46011
Phone (765) 298-2121
1515 N Madison Ave
Anderson, IN 46011
Phone (317) 870-0488
2100 Midway St
Columbus, IN 47201
Phone 3178181240225
3512 Stellhorn Rd
Fort Wayne, IN 46815
150 W Market St
Ste 400
Indianapolis, IN 46204
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 566-2035
133 W Market St
Indianapolis, IN 46204
Phone (312) 505-7514
1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611
306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295
828 Lane Allen Rd
Ste 219
Lexington, KY 40504
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Terre Haute, IN
- NPI 1396145975
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1669873733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1427300060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392552",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152519500",
"telephone_number": "260-483-9081",
"fax_number": "260-483-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 STELLHORN RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468154631",
"telephone_number": "260-483-9081",
"fax_number": "260-483-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENGART",
"first_name": "KIMBERLY",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71004155A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 14, 2022; 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.