DR. ELIZABETH ANN WICKSTROM M.D.
NPI 1952473118
Obstetrics & Gynecology - Maternal & Fetal Medicine in Indianapolis, IN

Q: What is Elizabeth Wickstrom's NPI number?

The NPI number for Elizabeth Wickstrom is 1952473118. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Elizabeth Wickstrom's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment

8081 TOWNSHIP LINE RD STE 203, INDIANAPOLIS, IN 46260(317) 415-8100 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2022, Jan 24, 2022 (2 updates tracked since 2022).

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About Dr. Elizabeth Ann Wickstrom M.d. NPPES

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

DR. ELIZABETH ANN WICKSTROM M.D. (NPI 1952473118) is an individual maternal & fetal medicine provider in Indianapolis, Indiana, licensed in Indiana (01088352A) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1987).

NPPES Registry Identity

NPI1952473118

Entity TypeIndividualFemale

Primary Taxonomy207VM0101X

Provider Legal NameDR. ELIZABETH ANN WICKSTROMCredential: M.D.

Location Address8081 TOWNSHIP LINE RD STE 203Indianapolis, IN 46260-2189

Mailing Address8081 Township Line Rd Ste 203Indianapolis, IN 46260-2189

Phone(317) 415-8100

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1987

Enumeration DateNovember 14, 2006

Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2022

✔ NPI 1952473118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

Licenses✔ Licensed in IN · 01088352A✔ Licensed in KS · 04-24625✔ Licensed in MO · R7N69

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

8081 TOWNSHIP LINE RD STE 203, Indianapolis, IN 46260

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica.Insurance ›

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

Dr. Elizabeth Ann Wickstrom M.d. 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 ID4284731662

PECOS Enrollment IDI20070518000388, I20080711000027

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 46260 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

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 19

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

MACIE DANE SNOWDEN RD

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