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NICKOLAUS H GASTIL PSYCH
NPI 1053139808
Psychologist - Clinical in Bloomington, IN

Active since October 01, 2024PECOS Enrolled
645 S ROGERS ST, BLOOMINGTON, IN 47403(812) 314-3400(812) 337-2438 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2026, Jun 2, 2025, May 30, 2025 and 1 more (4 updates tracked since 2024).

About Nickolaus H Gastil Psych NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKOLAUS H GASTIL PSYCH (NPI 1053139808) is an individual clinical provider in Bloomington, Indiana, licensed in Indiana (20043859A) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1053139808
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameNICKOLAUS H GASTILCredential: PSYCH
Location Address645 S ROGERS STBloomington, IN 47403-2353
Mailing Address4645 Bellsville PikeNashville, IN 47448-9090 · (812) 320-8109
Phone(812) 314-3400
Fax(812) 337-2438
Sole ProprietorYes
Enumeration DateOctober 1, 2024
Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1053139808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IN · 20043859A
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
645 S ROGERS ST, Bloomington, IN 47403
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1390 Erie Ave Ste AConnersville, IN 47331-3177 · Phone (812) 314-3400 · Fax (812) 337-2438
Location 2831 Dillon DrRichmond, IN 47374-8048 · Phone (812) 314-3400 · Fax (812) 337-2438
Location 31550 E State Road 44Connersville, IN 47331-8293 · Phone (812) 314-3400 · Fax (812) 337-2438
Location 4720 N Marr RdColumbus, IN 47201-6660 · Phone (812) 314-3400 · Fax (812) 337-2438

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nickolaus H Gastil Psych is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nickolaus Gastil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centerstone Of Indiana, Inc.
Same address
Mental Health (Including Community Mental Health Center)
645 S ROGERS ST
Bloomington, IN 47403
  • Reassigned Medicare billing, Indiana enrollment
  • 251 clinicians in this Medicare group
NPI 1972320224 (812) 339-1691

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA HOESMAN
Counselor
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
MR. BARTLEY ALLEN CAMBRIDGE LCSW
Social Worker (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
JULIA ANN BARTLOW R.PH.
Pharmacist
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 355-6340
DEBORAH BOITS LCSW
Social Worker (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
IAN PERROTTE
Case Manager/Care Coordinator
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
JENNIFER CLAYPOOLE
Social Worker (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
DR. JAMES G MARENCIK MD
Psychiatry & Neurology (Psychiatry)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691
FIORA PIZZO LCSW
Social Worker (Clinical)
645 S ROGERS ST
BLOOMINGTON, IN 47403
Monroe County (812) 339-1691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nickolaus Gastil's NPI number?

The NPI number for Nickolaus Gastil is 1053139808. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Nickolaus Gastil located?

Nickolaus Gastil practices at 645 S Rogers St, Bloomington, IN 47403. The listed phone number is (812) 314-3400.

What is Nickolaus Gastil's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nickolaus Gastil enrolled in Medicare?

Yes. Nickolaus Gastil is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nickolaus Gastil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nickolaus Gastil reassigns Medicare benefits to Centerstone Of Indiana, Inc. (Bloomington, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nickolaus Gastil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nickolaus Gastil accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Nickolaus Gastil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nickolaus Gastil was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.