Individual provider Active NPI

Rachel Scholten

  • Nurse Practitioner
  • Kendallville, IN
National Provider Identifier
1780053975
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28207609A Issued in IN
Practice address
512 Professional Way
Kendallville, IN 46755-2927
Phone
(260) 347-8556
Fax
(260) 347-8557
NPI assigned
Sep 18, 2015
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28207609A IN Primary
Family Nurse Practitioner 363LF0000X 4704354652 MI

Addresses

Primary practice location

512 Professional Way
Kendallville, IN 46755-2927

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other practice location 1

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (800) 653-6568

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rwilson91857@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160330001119 IN Practitioner - Nurse Practitioner 3870890254 Reassigns benefits to 3 organizations
I20200817002382 FL Practitioner - Nurse Practitioner 3870890254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Illinois Urgent Care Professionals PLLCGroup PAC ID 9830437946, 36 clinicians

Practice addresses (Care Compare)

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020

3019 N National Rd
Columbus, IN 47203
Phone (708) 922-0911

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28207609AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Urgent Care Professionals PLLC CurrentSince Jul 16, 2025 Accepting new patients
Urgent Care Centers of Brevard County LLC Family Current Accepting new patients
Urgent Care Centers of Brevard County LLC Family CurrentSince May 1, 2021 Accepting new patients
Urgent Care Centers of Brevard County LLC Family CurrentSince May 1, 2021 Accepting new patients
Parkview Health System Inc Nurse Practitioner Current Accepting new patients
Pic Indiana PC CurrentSince Nov 16, 2022 Accepting new patients
Parkview Health System, Inc. Nurse Practitioner CurrentSince Aug 14, 2018 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

7444 W Wilson Ave
Ste 102
Harwood Hts, IL 60706
Phone 2249996997101

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617

1124 S 13th St
Decatur, IN 46733
Phone (260) 706-5039

900 Johnson St
#A
Elkhart, IN 46514

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1245 E Ireland Rd
#B
South Bend, IN 46614
Phone (574) 312-7022

2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128

Interoperability endpoints

  • Direct secure messaging: rwilson791473@direct.hfhs.org
  • Direct secure messaging: rwilson91857@direct.parkviewexchange.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1780053975",
    "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": "512 PROFESSIONAL WAY",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467552927",
            "telephone_number": "260-347-8556",
            "fax_number": "260-347-8557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "800-653-6568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOLTEN",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28207609A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704354652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwilson91857@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "512 Professional Way",
            "city": "Kendallville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467552927",
            "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": "512 Professional Way",
            "city": "Kendallville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467552927",
            "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": "512 Professional Way",
            "city": "Kendallville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467552927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kendallville, IN

Sources for this page

Verify at the official NPI Registry.