Active NPI
Daniel L Hatch, FNP
- Nurse Practitioner
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71012932A
- Practice address
- 6326 Constitution Dr
Fort Wayne, IN 46804-1518 - Phone
- (574) 265-5346
- NPI assigned
- Jun 2, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 28206271A | IN | |
| Nurse Practitioner | 363L00000X | 71012932A | IN | Primary |
Addresses
Primary practice location
6326 Constitution Dr
Fort Wayne, IN 46804-1518
Mailing address
706 W Tower St
Pierceton, IN 46562-9459
Phone (574) 265-5346
Other practice location 1
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone (260) 460-1345
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, 2020
- 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
Hospital & facility affiliations
- Kosciusko Community Hospital
- Woodlawn Hospital
- Parkview Whitley Hospital
- Goshen Hospital
- Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28206271A | IN | MD | Critical Care Medicine Registered Nurse |
| 71012932A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RP Care LLC | Current | Accepting new patients |
Locations
6326 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 515-3275
Organizations & group practices 1
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
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
-
- General Acute Care Hospital
- Warsaw, IN
- NPI 1164475711
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
-
- Critical Access Hospital
- Rochester, IN
- NPI 1265413405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1871232207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 W TOWER ST",
"city": "PIERCETON",
"state": "IN",
"postal_code": "465629459",
"telephone_number": "574-265-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6326 CONSTITUTION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041518",
"telephone_number": "574-265-5346"
}
],
"practiceLocations": [
{
"address_1": "2121 Lake Ave",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468055100",
"country_code": "US",
"telephone_number": "260-460-1345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATCH",
"first_name": "DANIEL",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-02",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "IN",
"license": "28206271A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71012932A",
"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 Sep 28, 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.