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

Andrea Place, FNP-C

Individual provider Family Medicine Physician · NPI 1467024455

Andrea Place, FNP-C is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2021, 5 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 434-6412
Fax: (260) 434-6395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7970 W Jefferson Blvd, Fort Wayne, IN 46804-4140 — (260) 416-8200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71011572 (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 28229563A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28229563A (IN)

Record details

NPI number1467024455
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 11, 2021
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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