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

Stephanie L Nicholson, NP

Individual provider Family Nurse Practitioner · NPI 1639909260

Stephanie L Nicholson, NP is a Nurse Practitioner in Muncie, Indiana. Qualified in 2024, 2 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4870 E Jackson St
Muncie, IN 47303-4432
Phone: (765) 287-8596
Fax: (765) 288-6514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 349 W 1st St, Albany, IN 47320-1705 — (765) 287-8596

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71015588A (IN)

Record details

NPI number1639909260
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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