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

Elizabeth Rose Lichtsinn, NP-C

Individual provider Family Nurse Practitioner · NPI 1235780362

Elizabeth Rose Lichtsinn, NP-C is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2019, 7 years ago. Practices with Fort Wayne Dermatology Consultants Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

7881 Carnegie Blvd
Fort Wayne, IN 46804-5792
Phone: (260) 436-8000
Fax: (260) 434-0929
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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 71009392A (IN)

Record details

NPI number1235780362
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedSeptember 20, 2019
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fort Wayne Dermatology Consultants Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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