NICOLE A DELLER PMHNP
NPI 1114157641
Nurse Practitioner in Angola, IN
About Nicole A Deller Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE A DELLER PMHNP (NPI 1114157641) is an individual nurse practitioner in Angola, Indiana, licensed in Indiana (71004983A) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Cameron Memorial Community Hospital Inc, and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole A Deller Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Deller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Angola, IN 46703
- Reassigned Medicare billing, Indiana enrollment
- Also billed through NPI 1386683316 (Indiana)
- 133 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cameron Memorial Community Hospital Inc
Critical Access Hospitals · Angola, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicole Deller's NPI number?
The NPI number for Nicole Deller is 1114157641. It was assigned to this individual provider in the NPPES registry on July 17, 2009.
Where is Nicole Deller located?
Nicole Deller practices at 301 E Maumee St, Angola, IN 46703. The listed phone number is (260) 675-7535.
What is Nicole Deller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Nicole Deller enrolled in Medicare?
Yes. Nicole Deller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nicole Deller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Deller reassigns Medicare benefits to Cameron Memorial Community Hospital, Inc (Angola, 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 Nicole Deller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Deller accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Nicole Deller 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.
Is Nicole Deller affiliated with any hospitals?
According to CMS data, Nicole Deller is affiliated with Cameron Memorial Community Hospital Inc.
When was this NPI record last updated?
The NPPES record for Nicole Deller was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Nicole A Deller, PMHNP · NPI 1114157641
Nurse Practitioner physician in Angola, Indiana. Individual provider, active in the CMS NPPES registry since July 17, 2009.
## Identity
- **NPI:** 1114157641 (Entity type: Individual)
- **Enumerated:** July 17, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71004983A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 E MAUMEE ST, Angola, IN 46703-2012
- **Phone:** (260) 675-7535 · **Fax:** (260) 373-8034
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cameron Memorial Community Hospital, Inc (NPI 1770521478, Angola, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana Medical College, School Of Medicine Of Purdue University, class of 2014
## Record status
- **NPPES last updated:** March 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114157641) · Data from the CMS NPPES public registry.