EVYENIA LIPPE MD
NPI 1093640765
Family Medicine in Fort Wayne, IN

Q: What is Evyenia Lippe's NPI number?

The NPI number for Evyenia Lippe is 1093640765. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Q: What is Evyenia Lippe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Evyenia Lippe was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2026PECOS Enrolled

750 BROADWAY STE 350, FORT WAYNE, IN 46802(260) 423-2675(260) 969-2905 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Evyenia Lippe Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVYENIA LIPPE MD (NPI 1093640765) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (11025144A) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093640765

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameEVYENIA LIPPECredential: MD

Location Address750 BROADWAY STE 350Fort Wayne, IN 46802-1412

Mailing Address750 Broadway Ste 250Fort Wayne, IN 46802-1412 · (260) 422-6573 · Fax (260) 399-4242

Phone(260) 423-2675

Fax(260) 969-2905

Sole ProprietorNo

Enumeration DateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1093640765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 11025144A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

750 BROADWAY STE 350, Fort Wayne, IN 46802

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evyenia Lippe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN TRUMP DO

Family Medicine