Individual provider Active NPI

Safiya Wickware, APRN

  • Women's Health Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1194140939
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
28193397A Issued in IN
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

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200921280AMedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150609001954 IN Practitioner - Nurse Practitioner 4981925450 Reassigns benefits to 1 organization

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
Deaconess Womens Hospital of Southern Indiana LLCGroup PAC ID 4183699432, 50 clinicians

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

LicenseStateTypeSpecialty
71005142AINMDNurse Practitioner
28193397AINMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Women'S Hospital of Southern Indiana, LLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Deaconess Women'S Hospital of Southern Indiana, LLC Current Accepting new patients
Deaconess Women'S Hospital of Southern Indiana, LLC CurrentSince Nov 1, 2025 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.

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

Verify at the official NPI Registry.