Individual provider Active NPI

Emily Metzinger, FNP

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1598444846
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014093A Issued in IN
Practice address
12404 Lima Crossing Dr
Fort Wayne, IN 46818-0202
Phone
(260) 458-3740
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71014093A IN Primary

Addresses

Primary practice location

12404 Lima Crossing Dr
Fort Wayne, IN 46818-0202

Mailing address

10833 Oak Chase CT
Fort Wayne, IN 46845-9431
Phone (260) 437-8121

Other names 1

  • Emily Budzon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily.metzinger@lutheranhealthnetwork.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725003255 IN Practitioner - Nurse Practitioner 7416318357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

12404 Lima Crossing Dr
Fort Wayne, IN 46818-0202
Phone (260) 478-4201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71014093AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Medical Group LLC CurrentSince Jul 24, 2023 Accepting new patients
Lutheran Medical Group LLC CurrentSince Jul 24, 2023 Accepting new patients

Locations

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

12404 Lima Crossing Dr
Fort Wayne, IN 46818
Phone (260) 458-3740

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1598444846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 OAK CHASE CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459431",
            "telephone_number": "260-437-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12404 LIMA CROSSING DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468180202",
            "telephone_number": "260-458-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZINGER",
        "first_name": "EMILY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014093A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.metzinger@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "DM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12404 Lima Crossing Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468180202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BUDZON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.