Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205659323 Individual Practitioner Female Practitioner

Nicole M Wilson , APN

Nurse Practitioner • Indianapolis, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Wilson, APN is a certified Nurse Practitioner practicing in Indianapolis, IN. With approximately 5 years of clinical experience since completing medical education in 2021, Nicole Wilson delivers high-quality medical care to the local community at 429 E VERMONT ST STE 110.

Nicole Wilson is affiliated with My Mobile Md Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

429 E Vermont St Ste 110

Indianapolis, IN 462023685

Telephone 3175590950
Associated Practice Facility / Clinic
🏢 My Rehab And Wellness Llc Facility NPI 1124483078

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Indianapolis, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.2 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
477 Specialists

Practicing in Indianapolis, IN (2620 Statewide)

Telehealth Adoption Rate
10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (5 Years) 5 Yrs
Indianapolis Specialty Average (10.2 Years) 10.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-05-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71016247A

(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.

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License IL 209.030991

Definition to come...

Hospital & Practice Group Affiliations

My Mobile Md Llc

429 E Vermont St, Indianapolis, IN 462023685

Phone: 3175590950

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Corinne Barrett , NP

Nurse Practitioner - Family

NPI 1013528256

Nurse Practitioner

Dr. Leonard Cooley , DNP, APNP, FNP-BC

Nurse Practitioner - Family

NPI 1023574605

Doctor of Nursing Practice, Advanced Practice Nurse Prescriber, Family Nurse Practitioner (Board Certified)

Theresa Rhymer

Physical Therapy Assistant

NPI 1023988284
Payton Overstreet , NP

Nurse Practitioner

NPI 1063259091

Nurse Practitioner

Samantha Meyer

Nurse Practitioner

NPI 1124412879
Cammy Fowler , NP

Nurse Practitioner - Family

NPI 1386316636

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 19, 2025

Registered at 429 E VERMONT ST STE 110, INDIANAPOLIS, IN 462023685 (Tel: 3175590950)

📍
Updated Business Mailing Address May 19, 2025

Registered at 429 E VERMONT ST STE 110, INDIANAPOLIS, IN 462023685 (Tel: 3175590950)

NPI Profile Active November 06, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2024

Registered at 785 S WHITETAIL CIR, MOUNT ZION, IL 625491142 (Tel: 2179175675)

📍
Updated Business Mailing Address November 06, 2024

Registered at 785 S WHITETAIL CIR, MOUNT ZION, IL 625491142 (Tel: 2179175675)

👤
Provider Name / Credentials Updated November 06, 2024

Recorded as NICOLE WILSON, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2024

Nurse Practitioner (License #209.030991 in IL)

🟢
Initial NPI Registration & Enumeration November 06, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Nicole Wilson. Be the first to share your experience!

Sign in to leave a review for Nicole Wilson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1205659323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2024
Last Update: May 19, 2025
Sole Proprietor: Yes

Mailing Address

429 E Vermont St Ste 110

Indianapolis, IN 462023685

Phone: 3175590950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.