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

Kelly Davis, FNP

Individual provider Family Nurse Practitioner · NPI 1699388496

Kelly Davis, FNP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

6326 Constitution Dr
Fort Wayne, IN 46804-1518
Phone: (260) 969-6200
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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 71010315A (IN)

Record details

NPI number1699388496
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 10, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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