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

Colleen R. Incremona, RD

Individual provider Registered Dietitian · NPI 1740057843

Colleen R. Incremona, RD is a Registered Dietitian OR Nutrition Professional in Fort Wayne, Indiana. Qualified in 1983, 43 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
43
Licensed in
IN
In the registry since
2023
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

800 Broadway Ste 200
Fort Wayne, IN 46802-2149
Phone: (260) 435-7844
Fax: (260) 435-6906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37001063A (IN)

Record details

NPI number1740057843
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedDecember 8, 2023
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing address6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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