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: July 19, 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
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

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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.51 for a new patient copayment and $23.55 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 46804 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.04
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $20.51
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.22
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $23.55
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alex Koenemann is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LUTHERAN HOSPITAL OF INDIANA7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
(260) 435-7001Acute Care Hospitals

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
7950 W JEFFERSON BLVD, 1ST FLOOR
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Personal Emergency Response Attendant
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine (Emergency Medical Services)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pathology (Anatomic Pathology & Clinical Pathology)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physician Assistant
7950 W JEFFERSON BLVD, STE 2121
FORT WAYNE, IN 46804
Physician Assistant
7950 W JEFFERSON BLVD, SUITE 2121
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pharmacist
7950 W JEFFERSON BLVD, LUTHERAN HOSPITAL OF INDIANA PHARMACY DEPT.
FORT WAYNE, IN 46804
Pediatrics (Neonatal-Perinatal Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pediatrics (Neonatal-Perinatal Medicine)
7950 W JEFFERSON BLVD, NEONATAL INTENSIVE CARE UNIT
FORT WAYNE, IN 46804
Pediatrics (Neonatal-Perinatal Medicine)
7950 W JEFFERSON BLVD, NEONATAL INTENSIVE CARE UNIT
FORT WAYNE, IN 46804
Pediatrics (Neonatal-Perinatal Medicine)
7950 W JEFFERSON BLVD, NEONATAL INTENSIVE CARE UNIT
FORT WAYNE, IN 46804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952290918, enumerated as an "individual" on July 02, 2025.

The provider is located at 7950 W JEFFERSON BLVD FORT WAYNE, IN 46804 and the phone number is (260) 434-6004.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Alex Koenemann is affiliated with: LUTHERAN HOSPITAL OF INDIANA.