Individual provider Active NPI

Nicole Marie Wong, CNM

  • Advanced Practice Midwife
  • Denver, CO
National Provider Identifier
1831846781
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
71012411A Issued in IN
Practice address
7155 E 38TH Ave
Denver, CO 80207-1630
Phone
(505) 944-2021
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X
Advanced Practice Midwife 367A00000X C-APN.0103183-C-CN CO
Advanced Practice Midwife 367A00000X 71012411A IN Primary

Addresses

Primary practice location

7155 E 38TH Ave
Denver, CO 80207-1630

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

550 University Blvd Ste 2041
Indianapolis, IN 46202-5149
Phone (317) 944-8231

Other practice location 2

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-8231

Other identifiers 1

IdentifierTypeStateIssuer
9000240929MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NWONG@IUHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220818001651 IN Practitioner - Certified Nurse Midwife (CNM) 5698158939 Reassigns benefits to 1 organization
I20250306001449 CO Practitioner - Certified Nurse Midwife (CNM) 5698158939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
C-APN.0103183-C-CNCOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Jun 1, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 13, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 13, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
Planned Parenthood of the Rocky Mountains, Inc Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

550 University Blvd
Ste 2041
Indianapolis, IN 46202

Interoperability endpoints

  • Direct secure messaging: nwong@iuhealth.org
  • Direct secure messaging: nwong@direct.iuhealth.org

Organizations & group practices 7

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1831846781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 E 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071630",
            "telephone_number": "505-944-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 University Blvd Ste 2041",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-944-8231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-944-8231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "C-APN.0103183-C-CN",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "71012411A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000240929",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NWONG@IUHEALTH.ORG",
            "affiliation": "N",
            "address_1": "550 University Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.