The Nicaraguan Campaign Medal is a campaign medal of the United States Navy which was authorized by Presidential Order of Woodrow Wilson on September 22, 1913.

The First Nicaraguan Campaign Medal was created to recognize those U.S. Navy personnel and U.S. Marines who had participated in amphibious actions in Nicaragua between 29 July and 14 November 1912.

The medal itself was suspended from a red ribbon with two thick blue stripes.

On the reverse of each medal was a Navy or Marine Corps crest, depending on the recipient's branch of service.

The First Nicaraguan Campaign Medal was a one-time-only decoration and there were no devices or attachments authorized.