Individual provider · Type 1 NPI

Kristen A. Momenee, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1467078261 Active

Practice location

11143 Parkview Plaza Dr Ste 110
Fort Wayne, IN 46845-1728

Fax (260) 266-9025

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71010265A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1467078261

Kristen A. Momenee, NP's National Provider Identifier is 1467078261, issued on Jun 18, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 11, 2025.