Individual provider Active NPI

Jaclyn Wasel

  • Midwife
  • Fort Wayne, IN
National Provider Identifier
1386584530
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
2512 E Dupont Rd Ste 105
Fort Wayne, IN 46825-0045
Phone
(260) 222-7401
NPI assigned
Mar 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

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

Mailing address

3711 Thunderhawk Pass
Fort Wayne, IN 46818-8574

Other practice location 1

9835 Auburn Rd
Fort Wayne, IN 46825-2347
Phone (260) 222-7406

Other practice location 2

2520 E DuPont Rd
Fort Wayne, IN 46825-1675
Phone (260) 416-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1386584530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 THUNDERHAWK PASS",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188574"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9835 Auburn Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468252347",
            "country_code": "US",
            "telephone_number": "260-222-7406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 E DuPont Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251675",
            "country_code": "US",
            "telephone_number": "260-416-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASEL",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.