Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

Q: 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.

Q: What is Nickolaus Gastil's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nickolaus Gastil was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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

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Secondary Practice Locations 4

Location 1720 N Marr RdColumbus, IN 47201-6660 · 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 4390 Erie Ave Ste AConnersville, IN 47331-3177 · Phone (812) 314-3400 · Fax (812) 337-2438

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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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