Alexa Ann Nickelson, CNM, WHNP-BC is a
Midwife based in Wakarusa, Indiana. Alexa Ann Nickelson is licensed to practice in Indiana (license number 09000490A) and her current practice location is
207 N Elkhart St, Wakarusa, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 390-0241.
NPI number for Alexa Ann Nickelson is 1689470163 and her current mailing address is 207 N Elkhart St, Wakarusa, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689470163.
Provider's Profile
Full Name | Alexa Ann Nickelson |
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Gender | Female |
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Speciality | Midwife |
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Location | 207 N Elkhart St, Wakarusa, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689470163
- Provider Enumeration Date: 02/24/2025
- Last Update Date: 02/26/2025
Medical Identifiers
Medical identifiers for Alexa Ann Nickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689470163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LW0102X | Nurse Practitioner - Women's Health | 104216827 (Indiana) | Secondary |
364SW0102X | Clinical Nurse Specialist - Women's Health | 28276535A (Indiana) | Secondary |
176B00000X | Midwife | 09000490A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexa Ann Nickelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexa Ann Nickelson, CNM, WHNP-BC 207 N Elkhart St, Wakarusa, IN 46573-9729 Ph: (574) 390-0241 | Alexa Ann Nickelson, CNM, WHNP-BC 207 N Elkhart St, Wakarusa, IN 46573-9729 Ph: (574) 390-0241 |
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