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

Nicole M Wilson, APN

Individual provider Primary Care Nurse Practitioner · NPI 1205659323

Nicole M Wilson, APN is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Practices with My Mobile MD LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
5
Licensed in
IL, IN
In the registry since
2024
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

429 E Vermont St Ste 110
Indianapolis, IN 46202-3685
Phone: (317) 559-0950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71016247A (IN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 209.030991 (IL)

Record details

NPI number1205659323
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorYes
NPI enumeratedNovember 6, 2024
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice My Mobile Md Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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