Kelly Wakefield, APRN.CNP
NPI 1164073557ActiveIndividual· Nurse Practitioner, Women's Health· Fort Wayne, IN
Nurse Practitioner, Women's Health (APRN.CNP) in Fort Wayne, Indiana, licensed in IN, with an NPI issued in September 2019.
Overview
| NPI | 1164073557 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN.CNP |
| Sole proprietor | No |
| NPI issued | Sep 26, 2019 |
| Last updated in NPPES | Feb 11, 2020 |
| Certified by provider | Feb 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Women's Health Primary | 363LW0102X | 71009784A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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