Doctor profile · Federal record
Dr. Ellise Koenn, NP
Family Nurse Practitioner · Family Medicine Physician · Fort Wayne, IN
- NPI 1952897092
- 8 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
10228 Dupont Circle Dr E Ste 100
Fort Wayne, IN 468251611
(260) 222-7401
fax (260) 209-5956 - Additional location
-
107 Buffalo Street
Antwerp, OH 45813
(419) 258-5641 - Mailing address
-
Po Box 772437
Detroit, MI 482772437
Credentials & registration
- NPI registered
- July 2018 — 8 yrs on file
- Profile last updated
- February 1, 2023
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (2)
- Indiana #71012516A · Ohio #APRN.CNP.023023
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1952897092. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$313
Transactions
10
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Biogen, Inc. | 8 | $169.11 | |
| Hologic Sales and Service, LLC | 2 | $143.93 |
By nature of payment
Frequently asked questions
What is Dr. Ellise Koenn's medical specialty?
Dr. Ellise Koenn practices Family Nurse Practitioner in Fort Wayne, IN.
Where does Dr. Ellise Koenn practice?
Dr. Ellise Koenn practices at 10228 Dupont Circle Dr E Ste 100, Fort Wayne, IN 468251611. Office phone: 2602227401.
What is Dr. Ellise Koenn's NPI?
Dr. Ellise Koenn's National Provider Identifier (NPI) is 1952897092, issued by NPPES.