Individual provider Active NPI

Lindsay K Gough, NP

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1841923208
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012681A Issued in IN
Practice address
7910 W Jefferson Blvd Ste 108
Fort Wayne, IN 46804-4159
Phone
(260) 436-0800
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 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 71012681A IN Primary

Addresses

Primary practice location

7910 W Jefferson Blvd Ste 108
Fort Wayne, IN 46804-4159

Mailing address

6610 Mutual Dr
Fort Wayne, IN 46825-4236
Phone (260) 436-0800

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
I20220714003290 IN Practitioner - Nurse Practitioner 6709267214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians
Fort Wayne Orthopaedics, LLCGroup PAC ID 7618965286, 65 clinicians

Practice addresses (Care Compare)

10106 Dupont Circle Dr E
Suite 150
Fort Wayne, IN 46825-1640
Phone (800) 566-5659

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (260) 436-8686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.69 of 100Reported as group
Quality
86.47
Promoting interoperability
81
Improvement activities
40
Cost
60.96

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Promoting interoperability
81
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012681AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Wayne Orthopaedics, LLC CurrentSince Jan 1, 2024 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Fort Wayne Orthopaedics LLC Family CurrentSince Jan 1, 2024 Accepting new patients
Orthopaedics-Indianapolis, Inc Current Accepting new patients

Locations

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

306 E Maumee St
Ste 301
Angola, IN 46703
Phone (260) 665-1670

820 Smaltz Way
Ste B
Auburn, IN 46706
Phone (260) 432-1800

820 Smaltz Way
Auburn, IN 46706
Phone (260) 909-6430

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

303 S Main St
Ste 404A
Bluffton, IN 46714

1100 Mercer Ave
Decatur, IN 46733

7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254

10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825

4900 Beaner Blvd
Gas City, IN 46933
Phone (765) 573-0725

1824 Dorchester Ct
Ste A
Goshen, IN 46526
Phone (574) 534-2548

8450 Northwest Blvd
Indianapolis, IN 46278

605 N Walnut St
North Manchester, IN 46962
Phone (219) 982-1994

1430 E 9th St
Rochester, IN 46975
Phone (574) 223-9393

701 Orthopaedic Dr
Warsaw, IN 46582
Phone (260) 435-6722

701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582

701 Orthopaedic Dr
Ste 100
Warsaw, IN 46582

Interoperability endpoints

  • Direct secure messaging: lindsay.gough.p1@direct.fwortho.nextgenshare.com

Organizations & group practices 5

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1841923208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 MUTUAL DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254236",
            "telephone_number": "260-436-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD STE 108",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "LINDSAY",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012681A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.