Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Dawn Nicoson, NP-BC

Individual provider Family Nurse Practitioner · NPI 1528692043

Angela Dawn Nicoson, NP-BC is a Nurse Practitioner in Brazil, Indiana. Qualified in 2019, 7 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2020
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Practice location Address checks out

1214 E National Ave Ste 100
Brazil, IN 47834-2700
Phone: (812) 442-2820
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28147389A (IN)

Record details

NPI number1528692043
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-BC
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brazil