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

Nicole Ann Odlum, DO

Individual provider Family Medicine Physician · NPI 1669041067

Nicole Ann Odlum, DO is a Family Practice in Newburgh, Indiana. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2021, 5 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
5
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
IN
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4011 Gateway Blvd Medical Ofc Bldg 3 Ste 3000
Newburgh, IN 47630
Phone: (812) 858-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11021918A (IN)

Record details

NPI number1669041067
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 24, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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