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

Michelle Nicole Gibson, AGAC-NP

Individual provider Gerontology Nurse Practitioner · NPI 1902414709

Michelle Nicole Gibson, AGAC-NP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2020, 6 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1801 N Senate Blvd
Indianapolis, IN 46202-1228
Phone: (317) 962-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 28212375A (IN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 71010174A (IN)

Record details

NPI number1902414709
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGAC-NP
Sole proprietorNo
NPI enumeratedJuly 17, 2020
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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