Doctor profile · Federal record
Dr. Lisa Fedderke, Midwife
Advanced Practice Midwife (CMS: Certified Nurse Midwife (CNM)) · Advanced Practice Midwife · Fort Wayne, IN
- NPI 1134530967
- Accepts Medicare
- MIPS 81.2 / 100 · 2023
- 12 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
8028 Carnegie Blvd Ste 300
Fort Wayne, IN 468045788
(260) 425-6650
fax (260) 755-6233 - Additional location
-
442 W High St
Bryan, OH 435061681
(419) 636-4517
fax (419) 636-6438 - Mailing address
-
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 468451701
Credentials & registration
- NPI registered
- May 2014 — 12 yrs on file
- Profile last updated
- June 4, 2024
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 367A00000X — NUCC code
- State licenses (2)
- Indiana #09000298 · Ohio #15865NM
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134530967. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$110
Transactions
6
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Mayne Pharma Commercial LLC | 1 | $29.32 | |
| Astellas Pharma US INC | 1 | $19.77 | |
| Shield Therapeutics INC | 1 | $15.99 | |
| Dexcom, INC. | 1 | $15.73 | |
| Hologic Sales and Service, LLC | 1 | $15.52 | |
| Pfizer INC. | 1 | $13.86 |
By nature of payment
Frequently asked questions
What is Dr. Lisa Fedderke's medical specialty?
Dr. Lisa Fedderke practices Advanced Practice Midwife in Fort Wayne, IN.
Where does Dr. Lisa Fedderke practice?
Dr. Lisa Fedderke practices at 8028 Carnegie Blvd Ste 300, Fort Wayne, IN 468045788. Office phone: 2604256650.
What is Dr. Lisa Fedderke's NPI?
Dr. Lisa Fedderke's National Provider Identifier (NPI) is 1134530967, issued by NPPES.
Does Dr. Lisa Fedderke accept Medicare assignment?
Yes. Dr. Lisa Fedderke accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.