Rene Michelle Phillippe, APRN, FNP-C,PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

28170462A Issued in IN

Practice address

7230 Engle Rd Ste 102
Fort Wayne, IN 46804-2234

Phone

(260) 820-0605

NPI assigned

Aug 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rounding ProvidersGroup PAC ID 5496947764, 15 clinicians

Indiana Advanced PsychiatryGroup PAC ID 6002254745, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Indiana Advanced Psychiatry

  • Psychiatry Physician
  • Fort Wayne, IN
  • NPI 1861253742
  Medicare reassignment Care Compare group NPD
• Rounding Providers

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1538486691
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1821578931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 ENGLE RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042234",
            "telephone_number": "260-820-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 ENGLE RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042234",
            "telephone_number": "260-820-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPPE",
        "first_name": "RENE",
        "middle_name": "MICHELLE",
        "credential": "APRN, FNP-C,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28170462A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28170462A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip J Johnson MD Inc
• Phillip M. McKean Professional Corporation
• Stephen Richard Phillipp, MD
• Addison Danielle Phillippe
• Onna Phillippe, RBT
• Milissa C. Phillips-Bohlender, NP
• Abby Phillips
• Douglas Leon Phillips II, DO
• Heather Phillips, LMFT
• John R Phillips

• Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.

Verify at the official NPI Registry.