ELLEN WICKEY FNP-C
NPI 1841172939
Nurse Practitioner - Family in Goshen, IN

Q: What is Ellen Wickey's NPI number?

The NPI number for Ellen Wickey is 1841172939. It was assigned to this individual provider in the NPPES registry on July 22, 2025.

Q: What is Ellen Wickey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Wickey was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 22, 2025PECOS EnrolledAccepts Medicare Assignment

213 MIDDLEBURY ST, GOSHEN, IN 46528(574) 534-3300 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ellen Wickey Fnp-c NPPES

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

ELLEN WICKEY FNP-C (NPI 1841172939) is an individual family provider in Goshen, Indiana, licensed in Indiana (71016829A) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1841172939

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELLEN WICKEYCredential: FNP-C

Location Address213 MIDDLEBURY STGoshen, IN 46528-2956

Mailing AddressPo Box 283Middlebury, IN 46540-0283 · (574) 500-4045

Phone(574) 534-3300

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 22, 2025

NPPES CertifiedJuly 7, 2025

✔ NPI 1841172939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71016829A

213 MIDDLEBURY ST, Goshen, IN 46528

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ellen Wickey Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385124312

PECOS Enrollment IDI20260217004222

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 46528 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

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

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.

MRS. KAITLYN E DELGADO FNP-BC

Nurse Practitioner (Family)