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Amy Sue Smith , LPN

Licensed Practical Nurse • Fort Wayne, IN

Active NPI 1083203897 Individual Practitioner Female Practitioner
Practice location in NPPES

5050 N Clinton St
Fort Wayne, IN 468255886

Call 2604848551 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5050 N Clinton St

Fort Wayne, IN 468255886

Telephone 2604848551
Fax 2604716674
Organization at the Same NPPES Address or Phone
Orthopaedics Northeast Pc Facility NPI 1740268796

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Wayne and Indiana

70 active clinicians are listed under Licensed Practical Nurse with a practice address in Fort Wayne, IN (576 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Wayne

0% of these 70 clinicians have the CMS telehealth indicator.

0% of these 70 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-15
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Tyson Agnew , PA

Physician Assistant

NPI 1801614524

Physician Assistant

John Akers , PA

Physician Assistant

NPI 1609878487

Physician Assistant

Dr. Daniel Andersen , DO

Orthopaedic Surgery

NPI 1841856515

Doctor of Osteopathic Medicine (D.O.)

Dale Anderson

Nurse Anesthetist, Certified Registered

NPI 1750779591
Carissa Ashtary Yazdi , PA-C

Physician Assistant

NPI 1609224732

Physician Assistant (Certified)

Morgan Beard

Nurse Practitioner

NPI 1104561711

Career & Practice History

NPI enumerated January 15, 2021.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from February 2021 to August 2026.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.