Provider Profile
Ellise S. Koenn, NP is a nurse practitioner — family practicing in Fort Wayne, IN. Ellise is also listed as specializing in family medicine.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
10228 DUPONT CIRCLE DR E STE 100
Fort Wayne, IN 46825
107 Buffalo Street
Antwerp, OH 45813
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
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
The number on file is (260) 222-7401. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
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
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
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.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.