Lisa Fedderke, MIDWIFE
NPI 1134530967 · Advanced Practice Midwife · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Certified Nurse Midwife (cnm) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Fedderke, MIDWIFE is a Advanced Practice Midwife provider in Fort Wayne, IN (NPI 1134530967).
Provider details
- NPI number
- 1134530967
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MIDWIFE
- Sex
- Female
- Sole proprietor
- No
- License
- 15865NM (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
12 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$110 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 442 W High StBryan, OH 43506-1681Phone: (419) 636-4517Fax: (419) 636-6438
Registry dates
- Enumerated
- 2014-05-14
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Frequently asked questions
- What is Lisa Fedderke's NPI number?
- Lisa Fedderke's National Provider Identifier (NPI) is 1134530967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Fedderke's specialty?
- Lisa Fedderke is listed in the NPPES registry with a primary specialty of Advanced Practice Midwife (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lisa Fedderke located?
- Lisa Fedderke's practice location on file with NPPES is 8028 Carnegie Blvd Ste 300, Fort Wayne, IN 46804-5788.
- What is Lisa Fedderke's phone number?
- The practice phone number listed in the NPPES registry for Lisa Fedderke is (260) 425-6650.
- Does Lisa Fedderke accept Medicare?
- Lisa Fedderke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Fedderke's NPI active?
- Yes — Lisa Fedderke's NPI (1134530967) is active in the NPPES registry as of the last update on 2024-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.