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Provider Profile

Ellise S. Koenn, NP

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Where to find Ellise S. Koenn, NP

About Ellise Koenn

Ellise S. Koenn, NP is a nurse practitioner — family practicing in Fort Wayne, IN. Ellise is also listed as specializing in family medicine. This provider record is associated with NPI 1952897092.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

IN licenceAs reported to the NPI registry
No. 71012516AAs reported
OH licenceAs reported to the NPI registry
No. APRN.CNP.023023As reported
NPINational Provider Identifier
1952897092Issued 2018

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Ellise S. Koenn specialize in?

Ellise S. Koenn is a nurse practitioner in Fort Wayne, IN. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where is Ellise S. Koenn located?

Ellise S. Koenn is listed at 10228 Dupont Circle Dr E Ste 100, Fort Wayne, IN 46825. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Ellise S. Koenn's phone number?

The number on file is (260) 222-7401. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Ellise S. Koenn's NPI number?

Ellise S. Koenn's National Provider Identifier is 1952897092. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Ellise S. Koenn been practicing?

Ellise S. Koenn has 8+ years experience. Registered with an NPI since 2018. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Ellise S. Koenn confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Ellise S. Koenn. If this is you, claiming it is free.

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