MS. NICOLE L ROSSER PMHNP
NPI 1417612185
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD
About Ms. Nicole L Rosser Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NICOLE L ROSSER PMHNP (NPI 1417612185) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R180811) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Nicole L Rosser 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 Rosser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Laurel, MD 20708
- Reassigned Medicare billing, District of Columbia enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Rosser's NPI number?
The NPI number for Nicole Rosser is 1417612185. It was assigned to this individual provider in the NPPES registry on November 8, 2021.
Where is Nicole Rosser located?
Nicole Rosser practices at 6701 N. Charles St. Emergency Department, Baltimore, MD 21204. The listed phone number is (240) 581-2521.
What is Nicole Rosser's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nicole Rosser enrolled in Medicare?
Yes. Nicole Rosser 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 Rosser's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Rosser reassigns Medicare benefits to Elocin Recovery And Therapy Services LLC (Laurel, MD). 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 Rosser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Rosser was last updated on February 20, 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.
# Ms. Nicole L Rosser, PMHNP · NPI 1417612185
Psychiatric/Mental Health physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since November 8, 2021.
## Identity
- **NPI:** 1417612185 (Entity type: Individual)
- **Enumerated:** November 8, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R180811 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6701 N. CHARLES ST., EMERGENCY DEPARTMENT, Baltimore, MD 21204
- **Phone:** (240) 581-2521
## 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:** Elocin Recovery And Therapy Services LLC (NPI 1073212361, Laurel, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417612185) · Data from the CMS NPPES public registry.