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ALEX MICHAEL KOENEMANN NP
NPI 1952290918
Nurse Practitioner - Family in Fort Wayne, IN

Active since July 02, 2025PECOS EnrolledAccepts Medicare Assignment
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 434-6004(260) 434-6481 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alex Michael Koenemann Np NPPES

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

ALEX MICHAEL KOENEMANN NP (NPI 1952290918) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71016711A) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1952290918
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameALEX MICHAEL KOENEMANNCredential: NP
Location Address7950 W JEFFERSON BLVDFort Wayne, IN 46804-4140
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3514 · Fax (260) 479-3520
Phone(260) 434-6004
Fax(260) 434-6481
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1952290918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71016711A
7950 W JEFFERSON BLVD, Fort Wayne, IN 46804
Open in Google Maps ↗

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

Alex Michael Koenemann Np 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 ID7214443191
PECOS Enrollment IDI20250718000533
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

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
$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.

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.

DR. ANURADHA G BOMMAKANTI M.D.
Internal Medicine (Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
VANESKA BOTTINO DA COSTA M.D.
Pediatrics (Pediatric Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
MISS JACQUELINE SHEPARD
Physician Assistant
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
EMERGENCY PROFESSIONALS OF INDIANA, P.C.
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-2699
PAMELA THOMAS MD
Pediatrics
7950 W JEFFERSON BLVD, SUITE 210
FORT WAYNE, IN 46804
Allen County (260) 432-2297
DR. AHDY MESSIHA M.D.
Radiology (Diagnostic Radiology)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-1568
LESLIE LEINS PHARMD
Pharmacist (Emergency Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7734
GORDON HENRY BOKHART PHARM D.
Pharmacist
7950 W JEFFERSON BLVD, RESEARCH DEPARTMENT
FORT WAYNE, IN 46804
Allen County (260) 435-7718

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 Alex Koenemann's NPI number?

The NPI number for Alex Koenemann is 1952290918. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Alex Koenemann located?

Alex Koenemann practices at 7950 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 434-6004.

What is Alex Koenemann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alex Koenemann enrolled in Medicare?

Yes. Alex Koenemann 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.

Is Alex Koenemann affiliated with any hospitals?

According to CMS data, Alex Koenemann is affiliated with Lutheran Hospital Of Indiana.

When was this NPI record last updated?

The NPPES record for Alex Koenemann was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.