Individual provider Active NPI

Anna Menze-Wagner, DO

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1831547124
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02005149A Issued in IN
Practice address
2512 E Dupont Rd Ste 200
Fort Wayne, IN 46825-1609
Phone
(260) 458-3760
Fax
(260) 458-3761
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11018731A IN
Family Medicine Physician 207Q00000X 02005149A IN Primary

Addresses

Primary practice location

2512 E Dupont Rd Ste 200
Fort Wayne, IN 46825-1609

Mailing address

6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Phone (260) 458-3760

Other practice location 1

750 Broadway Ste 350
Fort Wayne, IN 46802-1412
Phone (260) 423-2675

Other practice location 2

4813 New Haven Ave
Fort Wayne, IN 46803-3018
Phone (260) 449-7504

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anna.menze@lutheranhealthnetwork.cernerdirect.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171113000550 IN Practitioner - Family Practice 7810288693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

2512 E Dupont Rd
Fort Wayne, IN 46825-1609

2516 E Dupont Rd
Fort Wayne, IN 46825-1608
Phone (260) 434-6076

4813 New Haven Ave
Medical Annex
Fort Wayne, IN 46803-3018
Phone (260) 449-8739

Hospital & facility affiliations

  • Dupont Hospital LLC Hospital, Fort Wayne, IN, CCN 150150
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • St Joseph Health System, LLC Hospital, Fort Wayne, IN, CCN 150047
  • Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146

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
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02005149AINMDFamily Medicine Physician
11018731AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ft. Wayne-Allen County Department of Health CurrentSince Nov 1, 2020 Accepting new patients
Lutheran Medical Group LLC CurrentSince Jul 1, 2019 Accepting new patients
Lutheran Medical Group LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

10307 DuPont Circle Dr W
Ste A
Fort Wayne, IN 46825
Phone (260) 458-3240

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

200 E Berry St
Ste 360
Fort Wayne, IN 46802

2512 E DuPont Rd
Ste 200
Fort Wayne, IN 46825
Phone (260) 458-3760

4813 New Haven Ave
Fort Wayne, IN 46803
Phone (260) 449-7504

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

7980 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 459-1587

Interoperability endpoints

  • Direct secure messaging: anna.menze.1@14428.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1831547124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 POINTE INVERNESS WAY STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047934",
            "telephone_number": "260-458-3760",
            "fax_number": "260-458-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 E DUPONT RD STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251609",
            "telephone_number": "260-458-3760",
            "fax_number": "260-458-3761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Broadway Ste 350",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468021412",
            "country_code": "US",
            "telephone_number": "260-423-2675",
            "fax_number": "260-423-6621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4813 New Haven Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468033018",
            "country_code": "US",
            "telephone_number": "260-449-7504",
            "fax_number": "260-449-3813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENZE-WAGNER",
        "first_name": "ANNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11018731A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005149A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.menze@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "DM",
            "address_1": "2512 E DuPont Rd Ste 200",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468251609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.