OrganizationActive
Earthen Vessels Nurse Midwifery LLC
NPI 1053657775 · Medical Specialty Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1053657775
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janis Chrissikos, Certified Nurse Midwife(260) 704-7166
- License
- 09000220A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
251 Airport North Office Park
Fort Wayne, IN 46825-6702
Phone: (260) 704-7166
Fax: (260) 357-0282
Street-level locationGet directions
Mailing address
1755 County Road 36
Auburn, IN 46706-9404
Registry dates
- Enumerated
- 2012-12-27
- Last updated
- 2012-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.