Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083203897 Individual Practitioner Female Practitioner

Amy Sue Smith , LPN

Licensed Practical Nurse • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Amy Smith, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Fort Wayne, IN. Practice services are available at 5050 N CLINTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5050 N Clinton St

Fort Wayne, IN 468255886

Telephone 2604848551
Fax 2604716674
Associated Practice Facility / Clinic
🏢 Orthopaedics Northeast Pc Facility NPI 1740268796

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
72 Specialists

Practicing in Fort Wayne, IN (590 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-15
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IN 27046922A

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Anthony Dzigbordi

Nurse Anesthetist, Certified Registered

NPI 1003517954
Abigail Gann , PA

Physician Assistant

NPI 1003639956

Physician Assistant

Lisa Tompa , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013919018

Certified Registered Nurse Anesthetist

Craig Dyer , ATC

Specialist/Technologist - Athletic Trainer

NPI 1013977354

Certified Athletic Trainer

NPI 1023399128

Doctor of Osteopathic Medicine (D.O.)

Felicia Wehrle

Nurse Practitioner

NPI 1023764990

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2021

Registered at 5050 N CLINTON ST, FORT WAYNE, IN 468255886 (Tel: 2604848551)

📍
Updated Business Mailing Address January 15, 2021

Registered at 5050 N CLINTON ST, FORT WAYNE, IN 468255886 (Tel: 2604848551)

👤
Provider Name / Credentials Updated January 15, 2021

Recorded as AMY SMITH, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2021

Licensed Practical Nurse (License #27046922A in IN)

🟢
Initial NPI Registration & Enumeration January 15, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083203897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2021
Last Update: January 15, 2021
Sole Proprietor: Yes

Mailing Address

5050 N Clinton St

Fort Wayne, IN 468255886

Phone: 2604848551

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.