Individual provider Active NPI

Michelle Jean Wakefield, APN

  • Family Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1316363377
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004877A Issued in IN
Practice address
4199 Gateway Blvd Ste 2400
Newburgh, IN 47630-7972
Phone
(812) 858-4610
NPI assigned
Mar 13, 2014
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71004877A IN Primary
Registered Nurse 163W00000X 28153768A IN

Addresses

Primary practice location

4199 Gateway Blvd Ste 2400
Newburgh, IN 47630-7972

Mailing address

4199 Gateway Blvd Ste 2400
Newburgh, IN 47630-7972
Phone (812) 858-4600

Other practice location 1

4199 Gateway Blvd Ste 3500
Newburgh, IN 47630-7909
Phone (812) 858-5950

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
I20200806000353 IN Practitioner - Nurse Practitioner 3173948221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.73 of 100Reported as group
Quality
98.68
Promoting interoperability
100
Improvement activities
40
Cost
67.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28153768AINMDRegistered Nurse
71004877AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health Care, PC CurrentSince Aug 4, 2020 Accepting new patients
Women's Health Care, PC CurrentSince Aug 4, 2020 Accepting new patients

Locations

4199 Gateway Blvd
Ste 2300
Newburgh, IN 47630
Phone (812) 858-4610

4199 Gateway Blvd
Ste 2400
Newburgh, IN 47630
Phone (812) 858-4600

4199 Gateway Blvd
Ste 3500
Newburgh, IN 47630
Phone (812) 853-2600

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1316363377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD STE 2400",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307972",
            "telephone_number": "812-858-4600",
            "fax_number": "812-858-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD STE 2400",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307972",
            "telephone_number": "812-858-4610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4199 Gateway Blvd Ste 3500",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476307909",
            "country_code": "US",
            "telephone_number": "812-858-5950",
            "fax_number": "812-858-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "MICHELLE",
        "middle_name": "JEAN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004877A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28153768A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.