Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alex Michael Koenemann, NP

Individual provider Family Nurse Practitioner · NPI 1952290918

Alex Michael Koenemann, NP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2025, 1 year ago. Practices with Lutheran Medical Group LLC, a 250-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 434-6004
Fax: (260) 434-6481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71016711A (IN)

Record details

NPI number1952290918
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 2, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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