Alexa Ann Nickelson, CNM, WHNP-BC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

09000490A Issued in IN

Practice address

11123 Parkview Plaza Dr Ste 101
Fort Wayne, IN 46845-1707

Phone

(260) 425-6650

Fax

(260) 425-6649

NPI assigned

Feb 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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.

• Parkview Health System Inc

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1932130952
  Medicare reassignment

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1689470163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N ELKHART ST",
            "city": "WAKARUSA",
            "state": "IN",
            "postal_code": "465739729",
            "telephone_number": "574-390-0241",
            "fax_number": "574-393-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11123 PARKVIEW PLAZA DR STE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451707",
            "telephone_number": "260-425-6650",
            "fax_number": "260-425-6649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 N Elkhart St",
            "address_purpose": "LOCATION",
            "city": "Wakarusa",
            "state": "IN",
            "postal_code": "465739729",
            "country_code": "US",
            "telephone_number": "574-390-0241 x1",
            "fax_number": "574-393-9943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKELSON",
        "first_name": "ALEXA",
        "middle_name": "ANN",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "IN",
            "license": "09000490A",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000490A",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "104216827",
            "primary": false
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "IN",
            "license": "28276535A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mateo F Nicholson, DO
• Sadie Nicholson, PA-C
• Angela Nichter
• Jeffrey R Nickel, MD
• Kathryn Nickel
• Nathan D. Nicola, NP
• Nicolas a Soulier P C
• Nicolas a Soulier P C
• Stacy Nicole Nicole
• Nicolet Counseling LLC

• Advanced Practice Midwife in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Advanced Practice Midwife in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.

Verify at the official NPI Registry.