Takeyah Rosenthall, FNP - Medicare Nurse Practitioner in Kendallville, IN

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Takeyah Rosenthall, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kendallville, Indiana. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pic Indiana Pc, Emergency Professionals Of Indiana Pc, Inphynet Primary Care Physicians Midwest, S.c. and her current practice location is 1732 W North St, Kendallville, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 544-8054.

Takeyah Rosenthall is licensed to practice in Indiana (license number 71014019A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275218083.

Contact Information

Takeyah Rosenthall, FNP
1732 W North St,
Kendallville, IN 46755-2850
(260) 544-8054
Not Available

Map and Direction




Provider's Profile

Full NameTakeyah Rosenthall
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1732 W North St, Kendallville, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Takeyah Rosenthall graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1275218083
  • Provider Enumeration Date: 06/19/2023
  • Last Update Date: 10/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123486123
  • Enrollment ID: I20230623001065

Medical Identifiers

Medical identifiers for Takeyah Rosenthall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275218083NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 71014019A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71014019A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pic Indiana Pc3476790239135
Emergency Professionals Of Indiana Pc418360415080
Inphynet Primary Care Physicians Midwest, S.c.65078089468

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Takeyah Rosenthall allows following entities to bill medicare on her behalf.
Entity NameEmergency Professionals Of Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013951219
PECOS PAC ID: 4183604150
Enrollment ID: O20040721000612
Entity NameInphynet Primary Care Physicians Midwest, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528090610
PECOS PAC ID: 6507808946
Enrollment ID: O20050525001352
Entity NamePic Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942546890
PECOS PAC ID: 3476790239
Enrollment ID: O20130515000110
Entity NameFc Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225579063
PECOS PAC ID: 8820360001
Enrollment ID: O20170823001260
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649770769
PECOS PAC ID: 5395881841
Enrollment ID: O20200827001491

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Takeyah Rosenthall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Takeyah Rosenthall, FNP
1732 W North St,
Kendallville, IN 46755-2850

Ph: (931) 253-1110		Takeyah Rosenthall, FNP
1732 W North St,
Kendallville, IN 46755-2850

Ph: (260) 544-8054

Reviews and Comments


Nurse Practitioner Nurses in Kendallville, IN

Alissa Anglemyer, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 610 N Sawyer Rd, Kendallville, IN 46755
Phone: 918-931-0861    
Wendy J Walmsley, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 N Sawyer Rd, Kendallville, IN 46755
Phone: 260-347-8030    Fax: 260-347-8035
Lauren Kay Carlisle, APRN, MSN, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1732 W North St, Kendallville, IN 46755
Phone: 931-253-1110    
Mrs. Barbara Ann Chivers, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1844 Ida Red Rd, Kendallville, IN 46755
Phone: 260-347-8810    
Connie S. Cole, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5900 E 500 N, Kendallville, IN 46755
Phone: 260-349-8185    
Laura K Silver,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 410 N Sawyer Rd, Kendallville, IN 46755
Phone: 260-425-6390    Fax: 260-425-6395

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.