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

Nicole B Bolinger

Individual provider Nurse Practitioner · NPI 1578195913

Nicole B Bolinger is a Nurse Practitioner in Plymouth, Indiana. Qualified in 2019, 7 years ago. Practices with Saint Joseph Regional Medical Center Inc, a 141-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2349 Lake Ave Ste 100
Plymouth, IN 46563-7836
Phone: (574) 948-5100
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71009918A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28231971A (IN)

Record details

NPI number1578195913
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2020
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469

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 Saint Joseph Regional Medical Center Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plymouth