Lisa M Fedderke, MIDWIFE - Medicare Certified Nurse Midwife (cnm) in Fort Wayne, IN

Lisa M Fedderke, MIDWIFE is a medicare enrolled "Advanced Practice Midwife" in Fort Wayne, Indiana. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Parkview Health System Inc and her current practice location is 11123 Parkview Plaza Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 425-6650.

Lisa M Fedderke is licensed to practice in Indiana (license number 09000298) 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 1134530967.

Contact Information

Lisa M Fedderke, MIDWIFE
11123 Parkview Plaza Dr,
Fort Wayne, IN 46845-1707
(260) 425-6650
(260) 425-6649

Map and Direction




Provider's Profile

Full NameLisa M Fedderke
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience10 Years
Location11123 Parkview Plaza Dr, Fort Wayne, 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:
  • Lisa M Fedderke graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1134530967
  • Provider Enumeration Date: 05/14/2014
  • Last Update Date: 10/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012132418
  • Enrollment ID: I20171114000308

Medical Identifiers

Medical identifiers for Lisa M Fedderke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134530967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 15865NM (Ohio)Secondary
367A00000XAdvanced Practice Midwife 09000298 (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Parkview Health System Inc21633369671167

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. Lisa M Fedderke allows following entities to bill medicare on her behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288

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. Lisa M Fedderke 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
Lisa M Fedderke, MIDWIFE
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: (260) 266-6013
Lisa M Fedderke, MIDWIFE
11123 Parkview Plaza Dr,
Fort Wayne, IN 46845-1707

Ph: (260) 425-6650

Reviews and Comments


Advanced Practice Midwife Nurses in Fort Wayne, IN

Sarah Michelle Moore, APRN-CNM, PMHNP-BC
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Phone: 260-481-2700    Fax: 260-481-2838
Mrs. Nicole Lynn Schwanz, CNM
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Marianne C Stroud, CNM
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Andrea F Yoder, CNM
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Medicare: Accepting Medicare Assignments
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Phone: 260-432-4400    Fax: 260-969-6898
Allison A Thorpe, CNM
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Medicare: Medicare Enrolled
Practice Location: 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845
Phone: 260-422-7455    Fax: 260-422-4125
Clare Hall, CNM
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Medicare: Medicare Enrolled
Practice Location: 10228 Dupont Circle Dr E, Fort Wayne, IN 46825
Phone: 260-222-7401    

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.