DR. ANASTASIA LEIGH RALSTON
NPI 1376889071
Nurse Practitioner - Family in Vincennes, IN

Active since December 27, 2012PECOS EnrolledAccepts Medicare Assignment
1027 WASHINGTON AVE STE B, VINCENNES, IN 47591(812) 494-7500 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2019, Jan 17, 2019 (2 updates tracked since 2019).

About Dr. Anastasia Leigh Ralston NPPES

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

DR. ANASTASIA LEIGH RALSTON (NPI 1376889071) is an individual family provider in Vincennes, Indiana, licensed in Illinois (209010136) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1376889071
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ANASTASIA LEIGH RALSTON
Location Address1027 WASHINGTON AVE STE BVincennes, IN 47591-2240
Mailing Address1027 Washington Ave Ste BVincennes, IN 47591-2240 · (618) 554-0259
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 27, 2012
Last NPPES UpdateApril 28, 20232 updates tracked since enumeration
NPPES CertifiedApril 28, 2023
✔ NPI 1376889071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209010136
1027 WASHINGTON AVE STE B, Vincennes, IN 47591

Other Names 1

Former Name (1)Ms. Anastasia Leigh Jordan

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

Dr. Anastasia Leigh Ralston 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.

PECOS PAC ID8123264306
PECOS Enrollment IDI20190219002696
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 Reassignments

2

Medicare enrollment records show Anastasia Ralston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1027 WASHINGTON AVE STE B
Vincennes, IN 47591
  • Reassigned Medicare billing, Indiana enrollment
  • 60 clinicians in this Medicare group
Hospitalist
520 S 7TH ST
Vincennes, IN 47591
  • 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.

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150042
Location520 S 7th StVincennes, IN 47591 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47591 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$25.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1027 WASHINGTON AVE STE B
VINCENNES, IN 47591
Clinic/Center (Primary Care)
1027 WASHINGTON AVE STE B
VINCENNES, IN 47591
Social Worker (Clinical)
1027 WASHINGTON AVE STE B
VINCENNES, IN 47591

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 Anastasia Ralston's NPI number?

The NPI number for Anastasia Ralston is 1376889071. It was assigned to this individual provider in the NPPES registry on December 27, 2012. The provider is also known as Ms. Anastasia Leigh Jordan.

Where is Anastasia Ralston located?

Anastasia Ralston practices at 1027 Washington Ave Ste B, Vincennes, IN 47591. The listed phone number is (812) 494-7500.

What is Anastasia Ralston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anastasia Ralston enrolled in Medicare?

Yes. Anastasia Ralston 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 Anastasia Ralston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anastasia Ralston reassigns Medicare benefits to 2 organizations: Good Samaritan Family Health Center, Inc (Vincennes, IN) and Good Samaritan Hospital Physician Services, Inc (Vincennes, IN). 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 Anastasia Ralston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anastasia Ralston accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Anastasia Ralston 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 Anastasia Ralston affiliated with any hospitals?

According to CMS data, Anastasia Ralston is affiliated with Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Anastasia Ralston was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.