Ellise Koenn, NP
NPI 1952897092 · Family Nurse Practitioner · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellise Koenn, NP is a Family Nurse Practitioner provider in Fort Wayne, IN (NPI 1952897092).
Provider details
- NPI number
- 1952897092
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- APRN.CNP.023023 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
7 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.
$313 across 10 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)
- 107 Buffalo StreetAntwerp, OH 45813Phone: (419) 258-5641
Registry dates
- Enumerated
- 2018-07-02
- Last updated
- 2023-02-01
- Certified
- 2023-02-01
Frequently asked questions
- What is Ellise Koenn's NPI number?
- Ellise Koenn's National Provider Identifier (NPI) is 1952897092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellise Koenn's specialty?
- Ellise Koenn is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ellise Koenn located?
- Ellise Koenn's practice location on file with NPPES is 10228 Dupont Circle Dr E Ste 100, Fort Wayne, IN 46825-1611.
- What is Ellise Koenn's phone number?
- The practice phone number listed in the NPPES registry for Ellise Koenn is (260) 222-7401.
- Does Ellise Koenn accept Medicare?
- Ellise Koenn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ellise Koenn's NPI active?
- Yes — Ellise Koenn's NPI (1952897092) is active in the NPPES registry as of the last update on 2023-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.