NICOLE ROSS PMHNP
NPI 1467279364
Nurse Practitioner - Psychiatric/Mental Health in South Bend, IN
About Nicole Ross Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE ROSS PMHNP (NPI 1467279364) is an individual psychiatric/mental health provider in South Bend, Indiana, licensed in Indiana (71015862A) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Wayne, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Ross 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 Reassignments
5Medicare enrollment records show Nicole Ross reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana enrollment
- 233 clinicians in this Medicare group
Indianapolis, IN 46204
- Reassigned Medicare billing, Indiana enrollment
- 210 clinicians in this Medicare group
Columbus, IN 47201
- Reassigned Medicare billing, Indiana enrollment
- 129 clinicians in this Medicare group
Lexington, KY 40504
- Reassigned Medicare billing, Indiana enrollment
- 135 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, Indiana enrollment
- 139 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 46615 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH BEND, IN 46615
SOUTH BEND, IN 46615
SOUTH BEND, IN 46615
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 Ross's NPI number?
The NPI number for Nicole Ross is 1467279364. It was assigned to this individual provider in the NPPES registry on September 23, 2024.
Where is Nicole Ross located?
Nicole Ross practices at 3606 E Jefferson Blvd, South Bend, IN 46615. The listed phone number is (463) 724-3416.
What is Nicole Ross's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nicole Ross enrolled in Medicare?
Yes. Nicole Ross 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 Nicole Ross's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Ross reassigns Medicare benefits to 5 organizations: Extended Care Specialists, Inc (Merrillville, IN), Eventus Ecs, Inc (Indianapolis, IN), Eventus Wholehealth Midwest Inc (Columbus, IN), Eventus Ecs - Kentucky, PLLC (Lexington, KY) and Eventus Wh Midwest Care, LLC (Concord, NC). 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 Nicole Ross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Ross accept?
Health plans from CareSource list Nicole Ross 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.
When was this NPI record last updated?
The NPPES record for Nicole Ross was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nicole Ross, PMHNP · NPI 1467279364
Psychiatric/Mental Health physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1467279364 (Entity type: Individual)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 71015862A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3606 E JEFFERSON BLVD, South Bend, IN 46615-3052
- **Phone:** (463) 724-3416 · **Fax:** (574) 323-3718
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Extended Care Specialists, Inc (NPI 1134146079, Merrillville, IN); Eventus Ecs, Inc (NPI 1073353496, Indianapolis, IN); Eventus Wholehealth Midwest Inc (NPI 1386252757, Columbus, IN); Eventus Ecs - Kentucky, PLLC (NPI 1396563276, Lexington, KY); Eventus Wh Midwest Care, LLC (NPI 1588481717, Concord, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467279364) · Data from the CMS NPPES public registry.