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

Nicole Elizabeth Engle, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1205457629

Nicole Elizabeth Engle, PHYSICIANASSISTANT is a Physician Assistant in Indianapolis, Indiana. Qualified in 2020, 6 years ago. Practices with Radiology of Indiana P C, a 121-clinician group and accepts Medicare assignment.

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

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Phone: (178) 068-2603
Fax: (317) 806-8296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1205457629
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedApril 27, 2020
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Radiology Of Indiana P C — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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