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

Lisa M. Fedderke, MIDWIFE

Individual provider Advanced Practice Midwife · NPI 1134530967

Lisa M. Fedderke, MIDWIFE is a Certified Nurse Midwife (CNM) in Fort Wayne, Indiana. Qualified in 2014, 12 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
12
Licensed in
IN, OH
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

8028 Carnegie Blvd Ste 300
Fort Wayne, IN 46804-5788
Phone: (260) 425-6650
Fax: (260) 755-6233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 442 W High St, Bryan, OH 43506-1681 — (419) 636-4517

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 09000298 (IN)
Advanced Practice Midwife Taxonomy 367A00000X · Licence 15865NM (OH)

Record details

NPI number1134530967
Entity typeIndividual (Type 1)
GenderFemale
Credentials MIDWIFE
Sole proprietorNo
NPI enumeratedMay 14, 2014
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne