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

Nikki Mo Wynn, MD

Individual provider Pulmonary Disease Physician · NPI 1184979882

Nikki Mo Wynn, MD is a Pulmonary Disease in Fort Wayne, Indiana. Qualified in 2008, 18 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
18
Licensed in
IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 432-2297
Fax: (260) 434-6481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 01081038A (IN)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 01081038A (IN)

Record details

NPI number1184979882
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2012
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020
Mailing address6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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