Active NPI
Joel F. Nagel, NP
- Nurse Practitioner
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71003091A
- Practice address
- 7910 W Jefferson Blvd
Suite 112
Fort Wayne, IN 46804-4159 - Phone
- (260) 969-7121
- Fax
- (260) 436-4292
- NPI assigned
- Oct 26, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71003091A | IN | Primary |
Addresses
Primary practice location
7910 W Jefferson Blvd
Suite 112
Fort Wayne, IN 46804-4159
Mailing address
6920 Pointe Inverness Way Ste 200
Medpartners, Attn: Barb Copeland
Fort Wayne, IN 46804-7934
Phone (260) 479-3514
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3014062 | Medicaid | OH | |
| 200964820 | Medicaid | IN |
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6326 Constitution Dr
Fort Wayne, IN 46804-1518
Phone (260) 515-3275
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003091A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Indiana, LLC | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Nurse Practitioner | Current | Accepting new patients |
| RP Care LLC | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Past | Accepting new patients |
Locations
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
6326 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 515-3275
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
Organizations & group practices 5
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.
-
- Family Nurse Practitioner
- Fort Wayne, IN
- NPI 1134570104
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
-
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483228800000",
"number": "1619203692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6920 POINTE INVERNESS WAY STE 200",
"address_2": "MEDPARTNERS, ATTN: BARB COPELAND",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047934",
"telephone_number": "260-479-3514",
"fax_number": "260-479-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 W JEFFERSON BLVD",
"address_2": "SUITE 112",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044159",
"telephone_number": "260-969-7121",
"fax_number": "260-436-4292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "JOEL",
"middle_name": "F.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-26",
"last_updated": "2017-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71003091A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3014062",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200964820",
"state": "IN"
}
],
"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 Jan 1, 2017; 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.