Doctor profile · Federal record
Dr. Lisa Smith, MSN, RN, AGCNS, NP-C
Nurse Practitioner · Fort Wayne, IN
- NPI 1396303905
- 7 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11109 Parkview Plaza Dr
Fort Wayne, IN 468451701
(260) 415-6175 - Mailing address
-
1580 Vintners Way
Fort Wayne, IN 468458798
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Indiana #AG05180066
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396303905. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organon LLC | 2 | $21.77 |
By nature of payment
Frequently asked questions
What is Dr. Lisa Smith's medical specialty?
Dr. Lisa Smith practices Nurse Practitioner in Fort Wayne, IN.
Where does Dr. Lisa Smith practice?
Dr. Lisa Smith practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 468451701. Office phone: 2604156175.
What is Dr. Lisa Smith's NPI?
Dr. Lisa Smith's National Provider Identifier (NPI) is 1396303905, issued by NPPES.