Nicole M Wilson, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71016247A Issued in IN

Practice address

429 E Vermont St Ste 110
Indianapolis, IN 46202-3685

Phone

(317) 559-0950

NPI assigned

Nov 6, 2024

Last updated

May 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Mobile MD LLCGroup PAC ID 1052617826, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heritage Home Health Services Home health agency, Greenwood, IN, CCN 157090
• Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• My Mobile MD LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1225495716

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Heritage Home Health Services, LLC

  • Home Health Agency
  • Greenwood, IN
  • NPI 1598702292
  Care Compare affiliation
• Johnson Memorial Hospital

  • General Acute Care Hospital
  • Franklin, IN
  • NPI 1346248986
  Care Compare affiliation
• Johnson Memorial Hospital

  dba JMH Immediate/Occupation Health

  • Occupational Medicine Clinic/Center
  • Franklin, IN
  • NPI 1679577357

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1205659323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E VERMONT ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023685",
            "telephone_number": "317-559-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E VERMONT ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023685",
            "telephone_number": "317-559-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.030991",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71016247A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Wilson, MD
• Mikayla Wilson, DPT
• Monique M Wilson
• Naija Wilson
• Nickolas S Wilson, D.C
• Paul G Wilson
• Quiana Wilson
• Rachael Wilson
• Reid G Wilson, MD
• Richard Lewis Wilson, RPH

• Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.