Active NPI
Hagan Coy Lawson III
- Psychiatric/Mental Health Nurse Practitioner
- Fort Wayne, IN
National Provider Identifier
1164343182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 28293387A
- Practice address
- 5534 Saint Joe Rd
Fort Wayne, IN 46835-3328 - Phone
- (765) 546-2506
- NPI assigned
- Jul 24, 2026
- Last updated
- Oct 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 28293387A | IN | Primary |
Addresses
Primary practice location
5534 Saint Joe Rd
Fort Wayne, IN 46835-3328
Mailing address
723 W Franklin St
Winchester, IN 47394-1412
Phone (765) 546-2506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28293387A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowering Mental Wellness LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Winchester, IN
- NPI 1558285411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792800000000",
"number": "1164343182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 W FRANKLIN ST",
"city": "WINCHESTER",
"state": "IN",
"postal_code": "473941412",
"telephone_number": "765-546-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5534 SAINT JOE RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468353328",
"telephone_number": "765-546-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "HAGAN",
"middle_name": "COY",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-24",
"last_updated": "2026-10-24",
"certification_date": "2026-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "28293387A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.