Individual provider Active NPI

Nicole Lynn Schwanz, CNM

  • Advanced Practice Midwife
  • Fort Wayne, IN
National Provider Identifier
1043785272
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
71008571A Issued in IN
Practice address
2512 E Dupont Rd Ste 105
Fort Wayne, IN 46825-0045
Phone
(260) 222-7401
Fax
(260) 209-5956
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 09000315A IN
Advanced Practice Midwife 367A00000X 71008571A IN Primary

Addresses

Primary practice location

2512 E Dupont Rd Ste 105
Fort Wayne, IN 46825-0045

Mailing address

2512 E Dupont Rd Ste 105
Fort Wayne, IN 46825-0045
Phone (260) 222-7401

Other identifiers 1

IdentifierTypeStateIssuer
300021512MedicaidIN

Other names 1

  • Miss Nicole Lynn Yates Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
71008571AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Heart City Health Center, Inc. CurrentSince Jun 27, 2019 Accepting new patients
Heart City Health Center, Inc. CurrentSince Jun 27, 2019 Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

236 Simpson Ave
Elkhart, IN 46516
Phone (574) 293-0052

Interoperability endpoints

  • Direct secure messaging: nicole.schwanz.1@21210.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1043785272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 E DUPONT RD STE 105",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468250045",
            "telephone_number": "260-222-7401",
            "fax_number": "260-209-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 E DUPONT RD STE 105",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468250045",
            "telephone_number": "260-222-7401",
            "fax_number": "260-209-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWANZ",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000315A",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "71008571A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021512",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "YATES",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.