Individual provider Active NPI

Paige Marie Lombard, NP

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1770005829
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007244A Issued in IN
Practice address
7222 Engle Road
Fort Wayne, IN 46804-2222
Phone
(260) 432-5005
Fax
(260) 432-6003
NPI assigned
Jul 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 71007244A IN Primary

Addresses

Primary practice location

7222 Engle Road
Fort Wayne, IN 46804-2222

Mailing address

7222 Engle Rd
Fort Wayne, IN 46804-2222
Phone (260) 432-5005

Other identifiers 1

IdentifierTypeStateIssuer
71007244AOtherINSTATE LICENSE

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
I20170804001332 IN Practitioner - Nurse Practitioner 0547531840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Center, PCGroup PAC ID 4587567391, 6 clinicians

Practice addresses (Care Compare)

7222 Eagle Rd
Fort Wayne, IN 46804-2222
Phone (260) 432-5005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007244AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Center, PC CurrentSince Jun 30, 2017 Accepting new patients

Locations

10415 Leo Rd
Fort Wayne, IN 46825
Phone (260) 432-5005

7222 Engle Rd
Fort Wayne, IN 46804
Phone (260) 432-5005

Interoperability endpoints

  • Direct secure messaging: lombard.paige.004.0140061@aac.meditab.direct-ci.com

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.

Hospital & facility affiliations 4

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770005829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042222",
            "telephone_number": "260-432-5005",
            "fax_number": "260-432-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 ENGLE ROAD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042222",
            "telephone_number": "260-432-5005",
            "fax_number": "260-432-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARD",
        "first_name": "PAIGE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007244A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "71007244A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.