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LISA M. FEDDERKE MIDWIFE
NPI 1134530967
Advanced Practice Midwife in Fort Wayne, IN

Active since May 14, 2014PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
8028 CARNEGIE BLVD STE 300, FORT WAYNE, IN 46804(260) 425-6650(260) 755-6233 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Oct 3, 2022, Jun 25, 2021 and 2 more (5 updates tracked since 2017).

About Lisa M. Fedderke Midwife NPPES

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

LISA M. FEDDERKE MIDWIFE (NPI 1134530967) is an individual advanced practice midwife in Fort Wayne, Indiana, licensed in Indiana (09000298) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bryan, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1134530967
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameLISA M. FEDDERKECredential: MIDWIFE
Location Address8028 CARNEGIE BLVD STE 300Fort Wayne, IN 46804-5788
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701 · (260) 266-6013
Phone(260) 425-6650
Fax(260) 755-6233
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 14, 2014
Last NPPES UpdateJune 4, 20245 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1134530967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses✔ Licensed in IN · 09000298✔ Licensed in OH · 15865NM
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
8028 CARNEGIE BLVD STE 300, Fort Wayne, IN 46804
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Secondary Practice Location 1

Location 1442 W High StBryan, OH 43506-1681 · Phone (419) 636-4517 · Fax (419) 636-6438

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa M. Fedderke Midwife is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012132418
PECOS Enrollment IDI20171114000308
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 46804 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 7

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

KATHRYN CONFER
Advanced Practice Midwife
8028 CARNEGIE BLVD STE 300
FORT WAYNE, IN 46804
Allen County (260) 425-6650
ALLISON A THORPE CNM
Advanced Practice Midwife
8028 CARNEGIE BLVD STE 300
FORT WAYNE, IN 46804
Allen County (260) 425-6650
KELLY FIECHTER
Advanced Practice Midwife
8028 CARNEGIE BLVD STE 300
FORT WAYNE, IN 46804
Allen County (260) 425-6650
MRS. ANNETTE ELIZABETH EDGELL CNM
Advanced Practice Midwife
8028 CARNEGIE BLVD STE 300
FORT WAYNE, IN 46804
Allen County (260) 425-6650
GAIL A CLARK CNM
Advanced Practice Midwife
8028 CARNEGIE BLVD STE 300
FORT WAYNE, IN 46804
Allen County (260) 425-6650
BRIDGETTE NIESE RN
Advanced Practice Midwife
8028 CARNEGIE BLVD STE 300
FORT WAYNE, IN 46804
Allen County (260) 425-6650
GABRIELLE CORINNA BOWIE CNM
Registered Nurse (Obstetric, Inpatient)
8028 CARNEGIE BLVD STE 300
FORT WAYNE, IN 46804
Allen County (260) 425-6650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Fedderke's NPI number?

The NPI number for Lisa Fedderke is 1134530967. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is Lisa Fedderke located?

Lisa Fedderke practices at 8028 Carnegie Blvd Ste 300, Fort Wayne, IN 46804. The listed phone number is (260) 425-6650.

What is Lisa Fedderke's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Lisa Fedderke enrolled in Medicare?

Yes. Lisa Fedderke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Fedderke accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Lisa Fedderke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Fedderke was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.