Organization Active NPI

Mosaic Prosthetic Solutions LLC

  • Prosthetic/Orthotic Supplier
  • Wakarusa, IN
National Provider Identifier
1831998756
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MOSAIC PROSTHETIC SOLUTIONS LLC
Practice address
408 E Waterford St
Wakarusa, IN 46573-9552
Phone
(574) 862-0007
Fax
(574) 862-0020
NPI assigned
Mar 12, 2025
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
John Matthew ArnoldNPI 1437681442
Title
President
Phone
(765) 635-1075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

408 E Waterford St
Wakarusa, IN 46573-9552

Mailing address

408 E Waterford St
Wakarusa, IN 46573-9552
Phone (574) 862-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250722000464 IN DME Supplier - Prosthetic Personnel 3577079011 Practice locations: Wakarusa, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mosaic Prosthetic Solutions LLC408 E Waterford St, Wakarusa, IN 46573-9552(574) 862-0007 Limb Prostheses Accepts assignmentParticipating since Jul 22, 2025

National Provider Directory

National Provider Directory

Locations

408 E Waterford St
Wakarusa, IN 46573
Phone (574) 862-0007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1831998756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E WATERFORD ST",
            "city": "WAKARUSA",
            "state": "IN",
            "postal_code": "465739552",
            "telephone_number": "574-862-0007",
            "fax_number": "574-862-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E WATERFORD ST",
            "city": "WAKARUSA",
            "state": "IN",
            "postal_code": "465739552",
            "telephone_number": "574-862-0007",
            "fax_number": "574-862-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC PROSTHETIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-635-1075"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakarusa, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.