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

Dr. Mary Ena Kuyvenhoven

Individual provider Emergency Medicine Physician · NPI 1568098564

Dr. Mary Ena Kuyvenhoven is an Emergency Medicine in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Professional Emergency Physicians PC, a 75-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone: (260) 482-5091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01090044A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568098564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2020
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Professional Emergency Physicians Pc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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