NICOLE M WILSON APN
NPI 1205659323
Nurse Practitioner in Indianapolis, IN

Q: What is Nicole Wilson's NPI number?

The NPI number for Nicole Wilson is 1205659323. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Q: What is Nicole Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wilson was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 06, 2024PECOS EnrolledAccepts Medicare Assignment

429 E VERMONT ST STE 110, INDIANAPOLIS, IN 46202(317) 559-0950 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, Nov 6, 2024 (2 updates tracked since 2024).

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About Nicole M Wilson Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE M WILSON APN (NPI 1205659323) is an individual nurse practitioner in Indianapolis, Indiana, licensed in Indiana (71016247A) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Johnson Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205659323

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE M WILSONCredential: APN

Location Address429 E VERMONT ST STE 110Indianapolis, IN 46202-3685

Mailing Address429 E Vermont St Ste 110Indianapolis, IN 46202-3685 · (317) 559-0950

Phone(317) 559-0950

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 6, 2024

Last NPPES UpdateMay 19, 20252 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1205659323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71016247A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 209.030991 (IL)

429 E VERMONT ST STE 110, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole M Wilson Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395268718

PECOS Enrollment IDI20250326002806

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson Memorial Hospital

Acute Care Hospitals · Franklin, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150001

Location1125 W Jefferson StFranklin, IN 46131 · Johnson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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