IndividualActive
Elizabeth Wickstrom, M.D.
NPI 1952473118 · Maternal & Fetal Medicine Physician · Indianapolis, IN
Provider details
- NPI number
- 1952473118
- Entity type
- Individual
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 04-24625 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189
Phone: (317) 415-8100
Street-level locationGet directions
Mailing address
8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189
Additional practice locations (1)
- 4401 Wornall RdKansas City, MO 64111-3220Phone: (816) 932-6903Fax: (816) 932-5873
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.