Nicole Lynn Bradley
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Princeton, IN
NPI 1700519584 · NPPES record last updated Mar 5, 2026
Key facts
- NPI
- 1700519584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 28231868A (IN)
- Practice address
- 602 W Emerson St
Princeton, IN 47670-1330 - Phone
- (812) 664-2270
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Deaconess Memorial Medical Center Inc
Brentwood Meadows Physician Group LLC
Deaconess Specialty Physicians, Inc
Recover Together Inc
Practice addresses (Care Compare)
303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943
4488 Roslin Rd
Newburgh, IN 47630-8590
Phone (812) 858-7200
600 W 13TH St
Jasper, IN 47546-1882
721 W 13TH St
Jasper, IN 47546-1855
Phone (812) 996-5671
730 College Ave
Vincennes, IN 47591-3157
Phone (800) 683-8313
800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188
Hospital & facility affiliations
- Memorial Hospital and Health Care Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220817002818 | IN | Practitioner - Nurse Practitioner | 5294118675 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012748A | IN | MD | Nurse Practitioner |
| 28231868A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recover Together, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Deaconess Memorial Medical Center Inc | Current |
Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Nurse Practitioner | Current | Accepting new patients |
| Recover Together, Inc. | Nurse Practitioner | Current |
Accepting new patients |
| Deaconess Memorial Medical Center Inc | Current |
Accepting new patients | |
| Brentwood Meadows Physician Group LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Deaconess Specialty Physicians Inc | Nurse Practitioner | Current |
Accepting new patients |
| Deaconess Specialty Physicians Inc | Current |
Accepting new patients | |
| Onhealthcare LLC | Past | Accepting new patients |
Locations
Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100
1017 3rd St
Columbus, IN 47201
Phone (608) 977-7226
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
147 W Green Meadows Dr
Ste 2
Greenfield, IN 46140
Phone (317) 318-0367
600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345
721 W 13th St
Jasper, IN 47546
Phone (812) 482-4494
4488 Roslin Rd
Newburgh, IN 47630
Phone (812) 710-4038
730 College Ave
Vincennes, IN 47591
Interoperability endpoints
- nbradley1056514@direct.deaconess.com
- nbradley34325@direct.mhhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71012748A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 28231868A | IN | Yes |
Addresses
Primary practice location
602 W Emerson St
Princeton, IN 47670-1330
Mailing address
12910 Shelbyville Rd Ste 300
Louisville, KY 40243-2404
Phone (502) 244-2420
Other providers in Princeton, IN
- Christina K Binhack
- Pam Bishop
- Rex Andrew Blunck
- Board of Trustees of Welborn Clinic
- Board of Trustees of Welborn Clinic
- Amanda Montell Brashear
- Bruce Carlton Brink Jr.
- Brinks Family Practice PC
- Jason S Broeker
- Daniel Brown
All providers in Princeton, IN · Psychiatric/Mental Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.