NPI
Alexa Ann Nickelson
NPI 1689470163
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- CNM, WHNP-BC
- Type
- Individual
- Enumeration date
- 2025-02-24
- Last updated
- 2026-03-11
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Specialties
Licenses
- License IN
- 09000490a
- License IN
- 104216827
- License IN
- 28276535a
Location
- Practice location
- 11123 Parkview Plaza Dr Ste 101
- City
- Fort Wayne IN
- Postal code
- 46845-1707
- Phone
- (260) 425-6650
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Fort Wayne, IN. 11,245 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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