MR. NICKOLAS LEE CHILDRESS
NPI 1225906282
Nurse Practitioner in Rochester, IN
About Mr. Nickolas Lee Childress NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NICKOLAS LEE CHILDRESS (NPI 1225906282) is an individual nurse practitioner in Rochester, Indiana, licensed in Indiana (7101337A) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Nickolas Lee Childress 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 Reassignments
3Medicare enrollment records show Nickolas Childress reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plymouth, IN 46563
- Reassigned Medicare billing, Indiana enrollment
- 598 clinicians in this Medicare group
Hanover, IN 47243
- Reassigned Medicare billing, Indiana enrollment
- 220 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Indiana enrollment
- 171 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph Regional Medical Center
Acute Care Hospitals · Mishawaka, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46975 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, IN 46975
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 Nickolas Childress's NPI number?
The NPI number for Nickolas Childress is 1225906282. It was assigned to this individual provider in the NPPES registry on October 29, 2025.
Where is Nickolas Childress located?
Nickolas Childress practices at 392 Rochester Crossing Dr, Rochester, IN 46975. The listed phone number is (574) 325-5912.
What is Nickolas Childress's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Nickolas Childress enrolled in Medicare?
Yes. Nickolas Childress 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 organizations bill Medicare for Nickolas Childress's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nickolas Childress reassigns Medicare benefits to 3 organizations: Cep America LLC (Plymouth, IN), Fast Pace Medical Clinic PLLC (Hanover, IN) and Upperline Healthcare, PC (Hoover, AL). Each 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 Nickolas Childress's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nickolas Childress accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Nickolas Childress 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 Nickolas Childress affiliated with any hospitals?
According to CMS data, Nickolas Childress is affiliated with Saint Joseph Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Nickolas Childress was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Nickolas Lee Childress · NPI 1225906282
Nurse Practitioner physician in Rochester, Indiana. Individual provider, active in the CMS NPPES registry since October 29, 2025.
## Identity
- **NPI:** 1225906282 (Entity type: Individual)
- **Enumerated:** October 29, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 7101337A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 392 ROCHESTER CROSSING DR, Rochester, IN 46975-7034
- **Phone:** (574) 325-5912
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1336948629, Plymouth, IN); Fast Pace Medical Clinic PLLC (NPI 1649770769, Hanover, IN); Upperline Healthcare, PC (NPI 1538686498, Hoover, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225906282) · Data from the CMS NPPES public registry.