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

Nicole L Stevenson, MSN-NPC

Individual provider Nurse Practitioner · NPI 1063727204

Nicole L Stevenson, MSN-NPC is a Nurse Practitioner in Petersburg, Indiana. Qualified in 2010, 16 years ago. Practices with Deaconess Memorial Medical Center Inc, a 141-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Licensed in
IN
In the registry since
2010
Specialties on file
2

Practice location Address checks out

1003 E Illinois St
Petersburg, IN 47567-8068
Phone: (812) 354-3485
Fax: (812) 354-3459
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71003367A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71003367A (IN)

Record details

NPI number1063727204
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN-NPC
Sole proprietorNo
NPI enumeratedAugust 12, 2010
Last updated in NPPESJune 28, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Deaconess Memorial Medical Center Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Petersburg