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

Lisa Spears

Individual provider Registered Nurse · NPI 1821822511

Lisa Spears is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2022, 4 years ago. Practices with Rounding Providers, a 15-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

6326 Constitution Dr
Fort Wayne, IN 46804-1518
Phone: (260) 515-3275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71015758A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28248812C (IN)

Record details

NPI number1821822511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address429 E Dupont Rd # 1103, Fort Wayne, IN 46825-2051

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Rounding Providers — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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