ALEXA ANN NICKELSON CNM, WHNP-BC
NPI 1689470163
Advanced Practice Midwife in Fort Wayne, IN

Q: What is Alexa Nickelson's NPI number?

The NPI number for Alexa Nickelson is 1689470163. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Q: What is Alexa Nickelson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexa Nickelson was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 24, 2025PECOS Enrolled

11123 PARKVIEW PLAZA DR STE 101, FORT WAYNE, IN 46845(260) 425-6650(260) 425-6649 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Feb 26, 2025 (2 updates tracked since 2025).

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About Alexa Ann Nickelson Cnm, Whnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXA ANN NICKELSON CNM, WHNP-BC (NPI 1689470163) is an individual advanced practice midwife in Fort Wayne, Indiana, licensed in Indiana (09000490A) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wakarusa, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689470163

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameALEXA ANN NICKELSONCredential: CNM, WHNP-BC

Location Address11123 PARKVIEW PLAZA DR STE 101Fort Wayne, IN 46845-1707

Mailing Address207 N Elkhart StWakarusa, IN 46573-9729 · (574) 390-0241 · Fax (574) 393-9943

Phone(260) 425-6650

Fax(260) 425-6649

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 24, 2025

Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1689470163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in IN · 09000490A

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedMidwifeTaxonomy 176B00000X · License 09000490A (IN)

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 104216827 (IN)

Also ListedClinical Nurse Specialist · Women's HealthTaxonomy 364SW0102X · License 28276535A (IN)

11123 PARKVIEW PLAZA DR STE 101, Fort Wayne, IN 46845

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Secondary Practice Location 1

Location 1207 N Elkhart StWakarusa, IN 46573-9729 · Phone (574) 390-0241 ext. 1 · Fax (574) 393-9943

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexa Ann Nickelson Cnm, Whnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002381274

PECOS Enrollment IDI20260406003561

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN J TANNER D.O.

Obstetrics & Gynecology