Active NPI
Safiya Wickware, APRN
- Women's Health Nurse Practitioner
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 28193397A
- Practice address
- 4727 Rosebud LN Ste D
Newburgh, IN 47630-9367 - Phone
- (812) 475-8975
- Fax
- (812) 471-8322
- NPI assigned
- Mar 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 28193397A | IN | Primary |
| Nurse Practitioner | 363L00000X | 71005142A | IN |
Addresses
Primary practice location
4727 Rosebud LN Ste D
Newburgh, IN 47630-9367
Mailing address
876 Lincoln Ave
Evansville, IN 47713-2372
Phone (812) 773-9400
Other practice location 1
4199 Gateway Blvd Ste 3100
Newburgh, IN 47630-7906
Phone (812) 842-4550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200921280A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4199 Gateway Blvd
Suite 3100
Newburgh, IN 47630-7906
Phone (812) 842-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005142A | IN | MD | Nurse Practitioner |
| 28193397A | IN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Women'S Hospital of Southern Indiana, LLC | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Women'S Hospital of Southern Indiana, LLC | Current | Accepting new patients | |
| Deaconess Women'S Hospital of Southern Indiana, LLC | Current | Accepting new patients | |
| The Women'S Hospital | Past | Accepting new patients |
Locations
4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200
4199 Gateway Blvd
Ste 3100
Newburgh, IN 47630
Phone (812) 842-4550
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Newburgh, IN
- NPI 1245272921
-
- Maternal & Fetal Medicine Physician
- Newburgh, IN
- NPI 1306011796
Nurse Practitioner
-
- Non-Surgical Family Planning Clinic/Center
- Evansville, IN
- NPI 1609689561
-
- Pharmacy
- Newburgh, IN
- NPI 1891827523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1194140939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "876 LINCOLN AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477132372",
"telephone_number": "812-773-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4727 ROSEBUD LN STE D",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476309367",
"telephone_number": "812-475-8975",
"fax_number": "812-471-8322"
}
],
"practiceLocations": [
{
"address_1": "4199 Gateway Blvd Ste 3100",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476307906",
"country_code": "US",
"telephone_number": "812-842-4550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WICKWARE",
"first_name": "SAFIYA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-04",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IN",
"license": "28193397A",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71005142A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200921280A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.