Active NPI
Nicole St. Germain, MD
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1699470708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11024685A
- Practice address
- 1040 Wishard Blvd
Indianapolis, IN 46202-2872 - Phone
- (317) 962-8893
- NPI assigned
- Mar 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11024685A | IN | Primary |
Addresses
Primary practice location
1040 Wishard Blvd
Indianapolis, IN 46202-2872
Mailing address
1040 Wishard Blvd
Indianapolis, IN 46202-2872
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260428002319 | IN | Order and Referring Only - Family Practice | 4880161736 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11024685A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1699470708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 WISHARD BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 WISHARD BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022872",
"telephone_number": "317-962-8893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. GERMAIN",
"first_name": "NICOLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-31",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11024685A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
- St. Francis Hospital and Health Centers
- St. Francis Hospital and Health Centers
- St. Francis Hospital and Health Centers
- St. Francis Medical Group, LLC
- St. Francis Medical Group, LLC
- Madeleine L St. James, FNP-C
- Darcy St. John, CTRS
- St. Joseph Institute for the Deaf Indiana Service Corporation
- St. Joseph Institute for the Deaf Indianapolis
- St. Mary Adult Medicine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.